National Provider Identifier [NPI]: |
1821238783 |
Last Name Of The Provider |
REHMAN |
First Name Of The Provider |
NADIA |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 S HAM LN |
Street Address 2 Of The Provider |
SUITE S |
City Of The Provider |
LODI |
Zip Code Of The Provider |
952427501 |
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 |
72 |
Number Of Services |
23897 |
Number Of Medicare Beneficiaries |
145 |
Total Submitted Charge Amount |
542632.2 |
Total Medicare Allowed Amount |
348932.94 |
Total Medicare Payment Amount |
273444.7 |
Total Medicare Standardized Payment Amount |
268765.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
41 |
Number Of Drug Services |
22926 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
427988.2 |
Total Drug Medicare AllowedAmount |
259522.79 |
Total Drug Medicare PaymentAmount |
203468.68 |
Total Drug Medicare Standardized Payment Amount |
203468.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
971 |
Number Of Medicare Beneficiaries With Medical Services |
145 |
Total Medical Submitted Charge Amount |
114644 |
Total Medical Medicare Allowed Amount |
89410.15 |
Total Medical Medicare Payment Amount |
69976.02 |
Total Medical Medicare Standardized Payment Amount |
65297.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
57 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
77 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
122 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
97 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7216 |