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Mr. Saadi Ghatan

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NPI Number Detailed Information

Provider Information:

Name: Mr. Saadi Ghatan
Gender: M
Provider License Number If Given: 227303-1

NPI Information:

NPI: 1285791905
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/2/2007

Last Update Date: 3/25/2014

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 95000-5420
Philadelphia, PA 19195
Phone Number: 2126363232
Fax Number:

Provider Business Practice Location Address:

Address: 1000 10TH AVE SUITE 5G-80
New York, NY 10019
Phone Number: 2126363232
Fax Number:

Provider Taxonomy:

Primary: 302F00000X
Secondary (if any): 302F00000X
State: NY

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About Mr. Saadi Ghatan

Mr. Saadi Ghatan (MR. SAADI GHATAN ) is (1) Exclusive Provider Organization Physician in New York, NY. The NPI Number for Mr. Saadi Ghatan is 1285791905.
The current location address for Mr. Saadi Ghatan is 1000 10TH AVE SUITE 5G-80 New York, NY 10019 and the contact number is 2126363232 and fax number is . The mailing address for Mr. Saadi Ghatan is PO BOX 95000-5420 Philadelphia, PA 19195- 2126363232 (mailing address contact number - 2126363232).
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Saadi Ghatan ?


Answer: The NPI Number for Mr. Saadi Ghatan is 1285791905

Where is Mr. Saadi Ghatan located?


Answer: Mr. Saadi Ghatan is located at 1000 10TH AVE SUITE 5G-80 New York, NY 10019.

What is the specialty for Mr. Saadi Ghatan ?


Answer: The Specialty of Mr. Saadi Ghatan is (1) Exclusive Provider Organization Physician.

Are there any online reviews for Mr. Saadi Ghatan ?


Answer: Yes! Check It Now.

Are there any other health care providers in New York, NY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Mr. Saadi Ghatan

Number of HCPCS 44
Number of Medicare Beneficiaries 68
Number of Services 161
Total Submitted Charge Amount 1329456
Total Medicare Allowed Amount 91808.14
Total Medicare Payment Amount 73489.4
Total Medicare Standardized Payment Amount 54755.56
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 44
Number of Medicare Beneficiaries With Medical 68
Number of Medical Services 161
Total Medical Submitted Charge Amount 1329456
Total Medical Medicare Allowed Amount 91808.14
Total Medical Medicare Payment Amount 73489.4
Total Medical Medicare Standardized Payment Amount 54755.56
Average Age of Beneficiaries 68
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 25
Number of Beneficiaries Age 75 to 84 22
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 44
Number of Male Beneficiaries 24
Number of Non-Hispanic White Beneficiaries 43
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries 14
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 22
Number of Beneficiaries With Medicare Only Entitlement 46
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.21
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.31
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.21
Percent (%) of Beneficiaries Identified With Diabetes 0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.54
Percent (%) of Beneficiaries Identified With Hypertension 0.62
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.31
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.16
Average HCC Risk Score of Beneficiaries 1.3995

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