National Provider Identifier [NPI]: |
1891750212 |
Last Name Of The Provider |
KLEYNBERG |
First Name Of The Provider |
LEONID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6221 WILSHIRE BLVD |
Street Address 2 Of The Provider |
SUITE 504 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900485201 |
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 |
77 |
Number Of Services |
88886 |
Number Of Medicare Beneficiaries |
550 |
Total Submitted Charge Amount |
3511382 |
Total Medicare Allowed Amount |
1916248.36 |
Total Medicare Payment Amount |
1498066.86 |
Total Medicare Standardized Payment Amount |
1363454.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
42 |
Number Of Drug Services |
66422 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
1818631 |
Total Drug Medicare AllowedAmount |
817209.18 |
Total Drug Medicare PaymentAmount |
640303.93 |
Total Drug Medicare Standardized Payment Amount |
640303.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
22464 |
Number Of Medicare Beneficiaries With Medical Services |
550 |
Total Medical Submitted Charge Amount |
1692751 |
Total Medical Medicare Allowed Amount |
1099039.18 |
Total Medical Medicare Payment Amount |
857762.93 |
Total Medical Medicare Standardized Payment Amount |
723150.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
247 |
Number Of Non Hispanic White Beneficiaries |
266 |
Number Of Black or African American Beneficiaries |
187 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
80 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
470 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
70 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
34 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.302 |