National Provider Identifier [NPI]: |
1225046188 |
Last Name Of The Provider |
KRAL |
First Name Of The Provider |
JULIET |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
888 OAK GROVE AVE |
Street Address 2 Of The Provider |
12 |
City Of The Provider |
MENLO PARK |
Zip Code Of The Provider |
940254428 |
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 |
23 |
Number Of Services |
6503 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
155687.76 |
Total Medicare Allowed Amount |
96338.58 |
Total Medicare Payment Amount |
71612.8 |
Total Medicare Standardized Payment Amount |
62341.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
5442 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
8060.16 |
Total Drug Medicare AllowedAmount |
5872.15 |
Total Drug Medicare PaymentAmount |
4614.38 |
Total Drug Medicare Standardized Payment Amount |
4614.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
1061 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
147627.6 |
Total Medical Medicare Allowed Amount |
90466.43 |
Total Medical Medicare Payment Amount |
66998.42 |
Total Medical Medicare Standardized Payment Amount |
57727.28 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
119 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
26 |
Number Of Non Hispanic White Beneficiaries |
210 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
10 |
Percent Of With Cancer |
71 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0249 |