National Provider Identifier [NPI]: |
1568438976 |
Last Name Of The Provider |
CHARU |
First Name Of The Provider |
VEENA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1801 W ROMNEYA DR |
Street Address 2 Of The Provider |
STE # 203 |
City Of The Provider |
ANAHEIM |
Zip Code Of The Provider |
928011830 |
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 |
110 |
Number Of Services |
155278 |
Number Of Medicare Beneficiaries |
738 |
Total Submitted Charge Amount |
5495353.11 |
Total Medicare Allowed Amount |
2504117.48 |
Total Medicare Payment Amount |
1952998.13 |
Total Medicare Standardized Payment Amount |
1866111.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
67 |
Number Of Drug Services |
138451 |
Number Of Medicare Beneficiaries With Drug Services |
328 |
Total Drug Submitted ChargeAmount |
3942413.97 |
Total Drug Medicare AllowedAmount |
1661339.44 |
Total Drug Medicare PaymentAmount |
1301185.19 |
Total Drug Medicare Standardized Payment Amount |
1301185.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
16827 |
Number Of Medicare Beneficiaries With Medical Services |
738 |
Total Medical Submitted Charge Amount |
1552939.14 |
Total Medical Medicare Allowed Amount |
842778.04 |
Total Medical Medicare Payment Amount |
651812.94 |
Total Medical Medicare Standardized Payment Amount |
564925.93 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
471 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
391 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
126 |
Number Of Hispanic Beneficiaries |
178 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
336 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.3397 |