National Provider Identifier [NPI]: |
1316938178 |
Last Name Of The Provider |
DUMLAO |
First Name Of The Provider |
MELODY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
443 W MORTON AVE |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
PORTERVILLE |
Zip Code Of The Provider |
932573352 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
19325 |
Number Of Medicare Beneficiaries |
738 |
Total Submitted Charge Amount |
1518941.5 |
Total Medicare Allowed Amount |
778359.03 |
Total Medicare Payment Amount |
604080.72 |
Total Medicare Standardized Payment Amount |
588855.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
15300 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
91800 |
Total Drug Medicare AllowedAmount |
57014.1 |
Total Drug Medicare PaymentAmount |
44699.21 |
Total Drug Medicare Standardized Payment Amount |
44699.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
4025 |
Number Of Medicare Beneficiaries With Medical Services |
738 |
Total Medical Submitted Charge Amount |
1427141.5 |
Total Medical Medicare Allowed Amount |
721344.93 |
Total Medical Medicare Payment Amount |
559381.51 |
Total Medical Medicare Standardized Payment Amount |
544156.19 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
374 |
Number Of Non Hispanic White Beneficiaries |
252 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
62 |
Number Of Hispanic Beneficiaries |
384 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
512 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
4.1597 |