National Provider Identifier [NPI]: |
1295760221 |
Last Name Of The Provider |
APPLEBAUM |
First Name Of The Provider |
STEVEN |
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 |
55 E CALIFORNIA BLVD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053954 |
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 |
103 |
Number Of Services |
130925 |
Number Of Medicare Beneficiaries |
781 |
Total Submitted Charge Amount |
9108279.04 |
Total Medicare Allowed Amount |
1689766.52 |
Total Medicare Payment Amount |
1318882.5 |
Total Medicare Standardized Payment Amount |
1285705.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
122667 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
7432985.21 |
Total Drug Medicare AllowedAmount |
1287402.54 |
Total Drug Medicare PaymentAmount |
1008452.28 |
Total Drug Medicare Standardized Payment Amount |
1008452.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
8258 |
Number Of Medicare Beneficiaries With Medical Services |
781 |
Total Medical Submitted Charge Amount |
1675293.83 |
Total Medical Medicare Allowed Amount |
402363.98 |
Total Medical Medicare Payment Amount |
310430.22 |
Total Medical Medicare Standardized Payment Amount |
277253.38 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
549 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
587 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
80 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
704 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
63 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.5934 |