National Provider Identifier [NPI]: |
1659303873 |
Last Name Of The Provider |
ANGSTREICH |
First Name Of The Provider |
GREG |
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 |
520 SUPERIOR AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926633637 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
70463 |
Number Of Medicare Beneficiaries |
713 |
Total Submitted Charge Amount |
2655770.39 |
Total Medicare Allowed Amount |
1162927.38 |
Total Medicare Payment Amount |
899778.75 |
Total Medicare Standardized Payment Amount |
875109.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
65531 |
Number Of Medicare Beneficiaries With Drug Services |
247 |
Total Drug Submitted ChargeAmount |
1973312.5 |
Total Drug Medicare AllowedAmount |
835010.24 |
Total Drug Medicare PaymentAmount |
650240.51 |
Total Drug Medicare Standardized Payment Amount |
650240.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
4932 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
682457.89 |
Total Medical Medicare Allowed Amount |
327917.14 |
Total Medical Medicare Payment Amount |
249538.24 |
Total Medical Medicare Standardized Payment Amount |
224868.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
375 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
643 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
680 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9034 |