National Provider Identifier [NPI]: |
1497916647 |
Last Name Of The Provider |
SEKHON |
First Name Of The Provider |
VIJAY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 W 10TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROLLA |
Zip Code Of The Provider |
654012905 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
243 |
Number Of Services |
16373 |
Number Of Medicare Beneficiaries |
6599 |
Total Submitted Charge Amount |
1146761 |
Total Medicare Allowed Amount |
434824 |
Total Medicare Payment Amount |
333773.95 |
Total Medicare Standardized Payment Amount |
352746.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
243 |
Number Of Medical Services |
16373 |
Number Of Medicare Beneficiaries With Medical Services |
6599 |
Total Medical Submitted Charge Amount |
1146761 |
Total Medical Medicare Allowed Amount |
434824 |
Total Medical Medicare Payment Amount |
333773.95 |
Total Medical Medicare Standardized Payment Amount |
352746.55 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1607 |
Number Of Beneficiaries Age 65 to 74 |
2411 |
Number Of Beneficiaries Age 75 to 84 |
1780 |
Number Of Beneficiaries Age Greater 84 |
801 |
Number Of Female Beneficiaries |
4258 |
Number Of Male Beneficiaries |
2341 |
Number Of Non Hispanic White Beneficiaries |
6402 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
51 |
Number Of Beneficiaries With Medicare Only Entitlement |
4717 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1882 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3658 |