National Provider Identifier [NPI]: |
1164468963 |
Last Name Of The Provider |
KAMANDA |
First Name Of The Provider |
STELLA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 S UNIVERSITY AVE |
Street Address 2 Of The Provider |
SUITE 811 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722055302 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
60889 |
Number Of Medicare Beneficiaries |
297 |
Total Submitted Charge Amount |
2266965 |
Total Medicare Allowed Amount |
1420036.28 |
Total Medicare Payment Amount |
1102767.61 |
Total Medicare Standardized Payment Amount |
1103404.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
35 |
Number Of Drug Services |
52543 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
1537684 |
Total Drug Medicare AllowedAmount |
1042826.67 |
Total Drug Medicare PaymentAmount |
815799.22 |
Total Drug Medicare Standardized Payment Amount |
815799.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
8346 |
Number Of Medicare Beneficiaries With Medical Services |
297 |
Total Medical Submitted Charge Amount |
729281 |
Total Medical Medicare Allowed Amount |
377209.61 |
Total Medical Medicare Payment Amount |
286968.39 |
Total Medical Medicare Standardized Payment Amount |
287605.58 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
199 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
174 |
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 |
192 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0017 |