National Provider Identifier [NPI]: |
1386755403 |
Last Name Of The Provider |
VERMA |
First Name Of The Provider |
AJAY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1555 EAST ST |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960011153 |
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 |
82 |
Number Of Services |
230092 |
Number Of Medicare Beneficiaries |
470 |
Total Submitted Charge Amount |
7759424.67 |
Total Medicare Allowed Amount |
2426233.27 |
Total Medicare Payment Amount |
1893241.42 |
Total Medicare Standardized Payment Amount |
1853253.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
50 |
Number Of Drug Services |
220651 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
6283212.56 |
Total Drug Medicare AllowedAmount |
1958489.83 |
Total Drug Medicare PaymentAmount |
1534814.97 |
Total Drug Medicare Standardized Payment Amount |
1534814.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
9441 |
Number Of Medicare Beneficiaries With Medical Services |
470 |
Total Medical Submitted Charge Amount |
1476212.11 |
Total Medical Medicare Allowed Amount |
467743.44 |
Total Medical Medicare Payment Amount |
358426.45 |
Total Medical Medicare Standardized Payment Amount |
318438.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
439 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6247 |