National Provider Identifier [NPI]: |
1215981584 |
Last Name Of The Provider |
VOO |
First Name Of The Provider |
IRENE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8285 W ARBY AVE |
Street Address 2 Of The Provider |
SUITE 325 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891132235 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
6191 |
Number Of Medicare Beneficiaries |
779 |
Total Submitted Charge Amount |
1606141 |
Total Medicare Allowed Amount |
1008370.91 |
Total Medicare Payment Amount |
768297.04 |
Total Medicare Standardized Payment Amount |
760748.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2168 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
1177333.5 |
Total Drug Medicare AllowedAmount |
615265.01 |
Total Drug Medicare PaymentAmount |
476934.28 |
Total Drug Medicare Standardized Payment Amount |
476934.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4023 |
Number Of Medicare Beneficiaries With Medical Services |
779 |
Total Medical Submitted Charge Amount |
428807.5 |
Total Medical Medicare Allowed Amount |
393105.9 |
Total Medical Medicare Payment Amount |
291362.76 |
Total Medical Medicare Standardized Payment Amount |
283814.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
458 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
575 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
59 |
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
693 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4096 |