National Provider Identifier [NPI]: |
1578667127 |
Last Name Of The Provider |
ROSSMAN |
First Name Of The Provider |
STANLEY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6850 SEPULVEDA BLVD |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
VAN NUYS |
Zip Code Of The Provider |
914054451 |
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 |
93 |
Number Of Services |
55614 |
Number Of Medicare Beneficiaries |
370 |
Total Submitted Charge Amount |
1879263.46 |
Total Medicare Allowed Amount |
1118018.33 |
Total Medicare Payment Amount |
875063.83 |
Total Medicare Standardized Payment Amount |
851785.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
44 |
Number Of Drug Services |
43497 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
1209323.46 |
Total Drug Medicare AllowedAmount |
709793.39 |
Total Drug Medicare PaymentAmount |
553610.8 |
Total Drug Medicare Standardized Payment Amount |
553610.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
12117 |
Number Of Medicare Beneficiaries With Medical Services |
370 |
Total Medical Submitted Charge Amount |
669940 |
Total Medical Medicare Allowed Amount |
408224.94 |
Total Medical Medicare Payment Amount |
321453.03 |
Total Medical Medicare Standardized Payment Amount |
298174.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
275 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.94 |