National Provider Identifier [NPI]: |
1225135908 |
Last Name Of The Provider |
MADANAY |
First Name Of The Provider |
LYNN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
347 N KUAKINI ST |
Street Address 2 Of The Provider |
KUAKINI MEDICAL CENTER DEPARTMENT OF NUCLEAR MEDICINE |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968172336 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1746 |
Number Of Medicare Beneficiaries |
1410 |
Total Submitted Charge Amount |
303725.64 |
Total Medicare Allowed Amount |
90511.2 |
Total Medicare Payment Amount |
68623.35 |
Total Medicare Standardized Payment Amount |
68745.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1746 |
Number Of Medicare Beneficiaries With Medical Services |
1410 |
Total Medical Submitted Charge Amount |
303725.64 |
Total Medical Medicare Allowed Amount |
90511.2 |
Total Medical Medicare Payment Amount |
68623.35 |
Total Medical Medicare Standardized Payment Amount |
68745.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
625 |
Number Of Beneficiaries Age 75 to 84 |
471 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
871 |
Number Of Male Beneficiaries |
539 |
Number Of Non Hispanic White Beneficiaries |
158 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
959 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
195 |
Number Of Beneficiaries With Medicare Only Entitlement |
1281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5505 |