National Provider Identifier [NPI]: |
1700868726 |
Last Name Of The Provider |
SESSA |
First Name Of The Provider |
GINO |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3535 W 13 MILE RD |
Street Address 2 Of The Provider |
STE 437 |
City Of The Provider |
ROYAL OAK |
Zip Code Of The Provider |
48073 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
16229 |
Number Of Medicare Beneficiaries |
694 |
Total Submitted Charge Amount |
585557.1 |
Total Medicare Allowed Amount |
359879.91 |
Total Medicare Payment Amount |
273596.02 |
Total Medicare Standardized Payment Amount |
251992.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
13505 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
92467.1 |
Total Drug Medicare AllowedAmount |
75505.49 |
Total Drug Medicare PaymentAmount |
58946.09 |
Total Drug Medicare Standardized Payment Amount |
58946.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
2724 |
Number Of Medicare Beneficiaries With Medical Services |
694 |
Total Medical Submitted Charge Amount |
493090 |
Total Medical Medicare Allowed Amount |
284374.42 |
Total Medical Medicare Payment Amount |
214649.93 |
Total Medical Medicare Standardized Payment Amount |
193046.86 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
380 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
582 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.6943 |