National Provider Identifier [NPI]: |
1053412403 |
Last Name Of The Provider |
HEAD |
First Name Of The Provider |
BOBBIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., PHD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1350 S ELISEO DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GREENBRAE |
Zip Code Of The Provider |
949042011 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
37339 |
Number Of Medicare Beneficiaries |
413 |
Total Submitted Charge Amount |
3178578 |
Total Medicare Allowed Amount |
1285198.71 |
Total Medicare Payment Amount |
1000606.49 |
Total Medicare Standardized Payment Amount |
976768.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
40 |
Number Of Drug Services |
35431 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
2675226 |
Total Drug Medicare AllowedAmount |
1090418.63 |
Total Drug Medicare PaymentAmount |
854527.43 |
Total Drug Medicare Standardized Payment Amount |
854527.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1908 |
Number Of Medicare Beneficiaries With Medical Services |
413 |
Total Medical Submitted Charge Amount |
503352 |
Total Medical Medicare Allowed Amount |
194780.08 |
Total Medical Medicare Payment Amount |
146079.06 |
Total Medical Medicare Standardized Payment Amount |
122241.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
361 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
370 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
74 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3655 |