National Provider Identifier [NPI]: |
1346217718 |
Last Name Of The Provider |
LOUI |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1650 LILIHA ST |
Street Address 2 Of The Provider |
#105 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968173169 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
45904 |
Number Of Medicare Beneficiaries |
301 |
Total Submitted Charge Amount |
1125097.39 |
Total Medicare Allowed Amount |
723106.63 |
Total Medicare Payment Amount |
564162.54 |
Total Medicare Standardized Payment Amount |
555463.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
52 |
Number Of Drug Services |
35587 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
781356.46 |
Total Drug Medicare AllowedAmount |
513373.59 |
Total Drug Medicare PaymentAmount |
403055.82 |
Total Drug Medicare Standardized Payment Amount |
403055.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
10317 |
Number Of Medicare Beneficiaries With Medical Services |
301 |
Total Medical Submitted Charge Amount |
343740.93 |
Total Medical Medicare Allowed Amount |
209733.04 |
Total Medical Medicare Payment Amount |
161106.72 |
Total Medical Medicare Standardized Payment Amount |
152407.88 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
55 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
198 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5584 |