National Provider Identifier [NPI]: |
1992886741 |
Last Name Of The Provider |
SHAMASUNDER |
First Name Of The Provider |
HESARAGHATTA |
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 |
38660 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE A-380 |
City Of The Provider |
PALMDALE |
Zip Code Of The Provider |
935514385 |
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 |
106 |
Number Of Services |
186231 |
Number Of Medicare Beneficiaries |
560 |
Total Submitted Charge Amount |
6958051.9 |
Total Medicare Allowed Amount |
2883915.33 |
Total Medicare Payment Amount |
2249808.35 |
Total Medicare Standardized Payment Amount |
2207904.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
178156 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
6215792.9 |
Total Drug Medicare AllowedAmount |
2480920.78 |
Total Drug Medicare PaymentAmount |
1940338.49 |
Total Drug Medicare Standardized Payment Amount |
1940338.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
8075 |
Number Of Medicare Beneficiaries With Medical Services |
560 |
Total Medical Submitted Charge Amount |
742259 |
Total Medical Medicare Allowed Amount |
402994.55 |
Total Medical Medicare Payment Amount |
309469.86 |
Total Medical Medicare Standardized Payment Amount |
267566.22 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
418 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.2187 |