National Provider Identifier [NPI]: |
1992770069 |
Last Name Of The Provider |
DUGAN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 TRANCAS ST |
Street Address 2 Of The Provider |
SUITE 256 |
City Of The Provider |
NAPA |
Zip Code Of The Provider |
945582908 |
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 |
113 |
Number Of Services |
147921 |
Number Of Medicare Beneficiaries |
591 |
Total Submitted Charge Amount |
5431058 |
Total Medicare Allowed Amount |
1806834.17 |
Total Medicare Payment Amount |
1413630.78 |
Total Medicare Standardized Payment Amount |
1378653.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
69 |
Number Of Drug Services |
140884 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
4781689 |
Total Drug Medicare AllowedAmount |
1489792.11 |
Total Drug Medicare PaymentAmount |
1166235.14 |
Total Drug Medicare Standardized Payment Amount |
1166235.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
7037 |
Number Of Medicare Beneficiaries With Medical Services |
590 |
Total Medical Submitted Charge Amount |
649369 |
Total Medical Medicare Allowed Amount |
317042.06 |
Total Medical Medicare Payment Amount |
247395.64 |
Total Medical Medicare Standardized Payment Amount |
212418.11 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
527 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9936 |