National Provider Identifier [NPI]: |
1598728917 |
Last Name Of The Provider |
CUMMINGS |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 CRANE STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
MENLO PARK |
Zip Code Of The Provider |
940254429 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
12289 |
Number Of Medicare Beneficiaries |
214 |
Total Submitted Charge Amount |
875493 |
Total Medicare Allowed Amount |
304410.65 |
Total Medicare Payment Amount |
234270.9 |
Total Medicare Standardized Payment Amount |
216603.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6325 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
470066 |
Total Drug Medicare AllowedAmount |
169060.59 |
Total Drug Medicare PaymentAmount |
132460.45 |
Total Drug Medicare Standardized Payment Amount |
132460.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
5964 |
Number Of Medicare Beneficiaries With Medical Services |
214 |
Total Medical Submitted Charge Amount |
405427 |
Total Medical Medicare Allowed Amount |
135350.06 |
Total Medical Medicare Payment Amount |
101810.45 |
Total Medical Medicare Standardized Payment Amount |
84143.35 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
70 |
Number Of Non Hispanic White Beneficiaries |
187 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
33 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8693 |