National Provider Identifier [NPI]: |
1346286093 |
Last Name Of The Provider |
SCHOLZ |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4676 ADMIRALTY WAY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
MARINA DEL REY |
Zip Code Of The Provider |
902926601 |
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 |
81 |
Number Of Services |
40505 |
Number Of Medicare Beneficiaries |
644 |
Total Submitted Charge Amount |
3003139 |
Total Medicare Allowed Amount |
1592730.58 |
Total Medicare Payment Amount |
1275329.24 |
Total Medicare Standardized Payment Amount |
1251081.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
29 |
Number Of Drug Services |
25748 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
1686756 |
Total Drug Medicare AllowedAmount |
1028792.72 |
Total Drug Medicare PaymentAmount |
805645.18 |
Total Drug Medicare Standardized Payment Amount |
805645.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
14757 |
Number Of Medicare Beneficiaries With Medical Services |
644 |
Total Medical Submitted Charge Amount |
1316383 |
Total Medical Medicare Allowed Amount |
563937.86 |
Total Medical Medicare Payment Amount |
469684.06 |
Total Medical Medicare Standardized Payment Amount |
445435.87 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
567 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
75 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1965 |