National Provider Identifier [NPI]: |
1538258314 |
Last Name Of The Provider |
KLARNET |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12410 E SINTO AVE STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPOKANE VALLEY |
Zip Code Of The Provider |
992162258 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
107122 |
Number Of Medicare Beneficiaries |
205 |
Total Submitted Charge Amount |
5314198.14 |
Total Medicare Allowed Amount |
2128918.23 |
Total Medicare Payment Amount |
1667351.64 |
Total Medicare Standardized Payment Amount |
1667291.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
104001 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
4840669.14 |
Total Drug Medicare AllowedAmount |
1862701.67 |
Total Drug Medicare PaymentAmount |
1459978.55 |
Total Drug Medicare Standardized Payment Amount |
1459978.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3121 |
Number Of Medicare Beneficiaries With Medical Services |
205 |
Total Medical Submitted Charge Amount |
473529 |
Total Medical Medicare Allowed Amount |
266216.56 |
Total Medical Medicare Payment Amount |
207373.09 |
Total Medical Medicare Standardized Payment Amount |
207312.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
187 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
172 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
66 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.8053 |