National Provider Identifier [NPI]: |
1508973447 |
Last Name Of The Provider |
KALMADI |
First Name Of The Provider |
SUJITH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
695 S DOBSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852245665 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
203199 |
Number Of Medicare Beneficiaries |
678 |
Total Submitted Charge Amount |
5292474 |
Total Medicare Allowed Amount |
2528078.02 |
Total Medicare Payment Amount |
1967547.77 |
Total Medicare Standardized Payment Amount |
1971092.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
70 |
Number Of Drug Services |
197676 |
Number Of Medicare Beneficiaries With Drug Services |
311 |
Total Drug Submitted ChargeAmount |
3746092 |
Total Drug Medicare AllowedAmount |
1837620.22 |
Total Drug Medicare PaymentAmount |
1436266.74 |
Total Drug Medicare Standardized Payment Amount |
1436266.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
5523 |
Number Of Medicare Beneficiaries With Medical Services |
678 |
Total Medical Submitted Charge Amount |
1546382 |
Total Medical Medicare Allowed Amount |
690457.8 |
Total Medical Medicare Payment Amount |
531281.03 |
Total Medical Medicare Standardized Payment Amount |
534825.79 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
356 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
531 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0157 |