National Provider Identifier [NPI]: |
1548294101 |
Last Name Of The Provider |
TSAI |
First Name Of The Provider |
TONY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3939 J ST STE 106 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958193631 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
26693 |
Number Of Medicare Beneficiaries |
2349 |
Total Submitted Charge Amount |
6697629.37 |
Total Medicare Allowed Amount |
4998334.08 |
Total Medicare Payment Amount |
3857499.88 |
Total Medicare Standardized Payment Amount |
3711121.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
8946 |
Number Of Medicare Beneficiaries With Drug Services |
405 |
Total Drug Submitted ChargeAmount |
4623756.7 |
Total Drug Medicare AllowedAmount |
3115943.34 |
Total Drug Medicare PaymentAmount |
2436013.81 |
Total Drug Medicare Standardized Payment Amount |
2436013.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
17747 |
Number Of Medicare Beneficiaries With Medical Services |
2347 |
Total Medical Submitted Charge Amount |
2073872.67 |
Total Medical Medicare Allowed Amount |
1882390.74 |
Total Medical Medicare Payment Amount |
1421486.07 |
Total Medical Medicare Standardized Payment Amount |
1275107.74 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
187 |
Number Of Beneficiaries Age 65 to 74 |
834 |
Number Of Beneficiaries Age 75 to 84 |
760 |
Number Of Beneficiaries Age Greater 84 |
568 |
Number Of Female Beneficiaries |
1387 |
Number Of Male Beneficiaries |
962 |
Number Of Non Hispanic White Beneficiaries |
1888 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
112 |
Number Of Hispanic Beneficiaries |
229 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
1915 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
434 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4705 |