National Provider Identifier [NPI]: |
1831109792 |
Last Name Of The Provider |
DREISBACH |
First Name Of The Provider |
LUKE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39800 BOB HOPE DR |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
RANCHO MIRAGE |
Zip Code Of The Provider |
922703920 |
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 |
115 |
Number Of Services |
381817 |
Number Of Medicare Beneficiaries |
1360 |
Total Submitted Charge Amount |
10722988.47 |
Total Medicare Allowed Amount |
6815947.11 |
Total Medicare Payment Amount |
5307880.06 |
Total Medicare Standardized Payment Amount |
5250638.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
360124 |
Number Of Medicare Beneficiaries With Drug Services |
585 |
Total Drug Submitted ChargeAmount |
9138577.47 |
Total Drug Medicare AllowedAmount |
5802957.79 |
Total Drug Medicare PaymentAmount |
4526141.64 |
Total Drug Medicare Standardized Payment Amount |
4526141.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
21693 |
Number Of Medicare Beneficiaries With Medical Services |
1360 |
Total Medical Submitted Charge Amount |
1584411 |
Total Medical Medicare Allowed Amount |
1012989.32 |
Total Medical Medicare Payment Amount |
781738.42 |
Total Medical Medicare Standardized Payment Amount |
724497 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
481 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
718 |
Number Of Male Beneficiaries |
642 |
Number Of Non Hispanic White Beneficiaries |
1243 |
Number Of Black or African American Beneficiaries |
18 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.826 |