National Provider Identifier [NPI]: |
1487618328 |
Last Name Of The Provider |
SANDER |
First Name Of The Provider |
ALEKSANDRA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2828 E BARNETT ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
97504 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
118985 |
Number Of Medicare Beneficiaries |
676 |
Total Submitted Charge Amount |
6186233 |
Total Medicare Allowed Amount |
1777125.12 |
Total Medicare Payment Amount |
1392392.31 |
Total Medicare Standardized Payment Amount |
1399060.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
109205 |
Number Of Medicare Beneficiaries With Drug Services |
272 |
Total Drug Submitted ChargeAmount |
4802837 |
Total Drug Medicare AllowedAmount |
1409483.59 |
Total Drug Medicare PaymentAmount |
1098545.01 |
Total Drug Medicare Standardized Payment Amount |
1098545.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
9780 |
Number Of Medicare Beneficiaries With Medical Services |
676 |
Total Medical Submitted Charge Amount |
1383396 |
Total Medical Medicare Allowed Amount |
367641.53 |
Total Medical Medicare Payment Amount |
293847.3 |
Total Medical Medicare Standardized Payment Amount |
300515.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
640 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6097 |