VALERIY SABODASH M.D. NPI 1003008533

Psychiatry & Neurology (Neurology) in Sarasota, FL

NPI 1003008533 Individual Male Years of Experience 25 Psychiatry & Neurology Neurology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 100 Medicare Quality Reporting

About VALERIY SABODASH

Valeriy Sabodash is a provider established in Sarasota, Florida and his medical specialization is psychiatry & neurology (neurology) with more than 25 years of experience. The NPI number of Valeriy Sabodash is 1003008533 and was assigned on August 2007. The practitioner's primary taxonomy code is 2084N0400X with license number ME119014 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

Valeriy Sabodash is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Valeriy Sabodash is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Sarasota Memorial Hospital, Doctors Hospital Of Sarasota, Venice Regional Bayfront Health, Tampa General Hospital and Lakewood Ranch Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: annual registration in the prescription drug monitoring program, documentation of current medications in the medical record, falls: screening for future fall risk, implementation of improvements that contribute to more timely communication of test results, preventive care and screening: body mass index (bmi) screening and follow-up plan, provide education opportunities for new clinicians, statin therapy for the prevention and treatment of cardiovascular disease and use of high-risk medications in the elderly.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.81 for a new patient copayment and $25.94 for an established patient copayment.

NPI

1003008533

Provider Name VALERIY SABODASH M.D.
Provider Location Address5741 BEE RIDGE RD STE 530 SARASOTA, FL 34233
Provider Mailing Address5741 BEE RIDGE RD STE 530 SARASOTA, FL 34233
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1997
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-17-2007
Last Update Date09-24-2018


Primary Taxonomy

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License No.ME119014
License StateFL
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

VALERIY SABODASH M.D.
5741 BEE RIDGE RD STE 530
SARASOTA, FL
ZIP 34233
Phone: (941) 487-2160
Fax: (941) 487-2170

Get Directions


Mailing Address

VALERIY SABODASH M.D.
5741 BEE RIDGE RD STE 530
SARASOTA, FL
ZIP 34233
Phone: (941) 487-2160
Fax: (941) 487-2170



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID8325269343
PECOS Enrollment IDI20141016000872
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 34233 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.4 $178.79 $135.26
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.6 $44.69 $33.81
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.74 $145.28 $103.76
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $36.32 $25.94

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Documentation of Current Medications in the Medical Record 98% 1741
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Falls: Screening for Future Fall Risk 96% 428
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 83% 706
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounterNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2
Provide Education Opportunities for New CliniciansYesN/A
MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas.
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 53% 156
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period:*Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR*Adults aged >= 21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia; OR*Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL
Use of High-Risk Medications in the Elderly 7% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
428
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication2) Percentage of patients who were ordered at least two of the same high-risk medication

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 116Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • 54Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)
  • 29Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Valeriy Sabodash is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SARASOTA MEMORIAL HOSPITAL1700 S TAMIAMI TRL
SARASOTA, FL 34239
(941) 917-9000Acute Care Hospitals100087
DOCTORS HOSPITAL OF SARASOTA5731 BEE RIDGE RD
SARASOTA, FL 34233
(941) 342-1100Acute Care Hospitals100166
VENICE REGIONAL BAYFRONT HEALTH540 THE RIALTO
VENICE, FL 34285
(941) 485-7711Acute Care Hospitals100070
TAMPA GENERAL HOSPITAL1 TAMPA GENERAL CIR
TAMPA, FL 33606
(813) 844-7000Acute Care Hospitals100128
LAKEWOOD RANCH MEDICAL CENTER8330 LAKEWOOD RANCH BLVD
BRADENTON, FL 34202
(941) 782-2100Acute Care Hospitals100299

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821015694NEGROSKI NEUROLOGY, LLP
Organization
Psychiatry & Neurology (Neurology)5741 BEE RIDGE RD STE 530
SARASOTA, FL 34233
(941) 487-2160
1073624102 DONALD NEGROSKI MD
Individual
Psychiatry & Neurology (Neurology)5741 BEE RIDGE RD STE 530
SARASOTA, FL 34233
(941) 487-2160
1841693819 DANIEL SELLERS PA-C
Individual
Physician Assistant5741 BEE RIDGE RD STE 530
SARASOTA, FL 34233
(941) 487-2160

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.