National Provider Identifier [NPI]: |
1659348597 |
Last Name Of The Provider |
HIGUCHI |
First Name Of The Provider |
CARL |
Middle Initial Of The Provider |
M |
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 |
98 |
Number Of Services |
39157 |
Number Of Medicare Beneficiaries |
281 |
Total Submitted Charge Amount |
1336600.37 |
Total Medicare Allowed Amount |
833764.71 |
Total Medicare Payment Amount |
631233.47 |
Total Medicare Standardized Payment Amount |
624586.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
49 |
Number Of Drug Services |
34247 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
974031.9 |
Total Drug Medicare AllowedAmount |
615100.6 |
Total Drug Medicare PaymentAmount |
465046.71 |
Total Drug Medicare Standardized Payment Amount |
465046.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4910 |
Number Of Medicare Beneficiaries With Medical Services |
281 |
Total Medical Submitted Charge Amount |
362568.47 |
Total Medical Medicare Allowed Amount |
218664.11 |
Total Medical Medicare Payment Amount |
166186.76 |
Total Medical Medicare Standardized Payment Amount |
159540.26 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
129 |
Number Of Non Hispanic White Beneficiaries |
23 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
196 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
262 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
4 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8199 |