National Provider Identifier [NPI]: |
1033156682 |
Last Name Of The Provider |
SHIFFMAN |
First Name Of The Provider |
ROGER |
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 |
5 HARRIS CT |
Street Address 2 Of The Provider |
BLDG T, 2ND FLOOR SUITE 201 |
City Of The Provider |
MONTEREY |
Zip Code Of The Provider |
939405750 |
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 |
127 |
Number Of Services |
196704 |
Number Of Medicare Beneficiaries |
739 |
Total Submitted Charge Amount |
3810574.54 |
Total Medicare Allowed Amount |
1759024.27 |
Total Medicare Payment Amount |
1346823.81 |
Total Medicare Standardized Payment Amount |
1334037.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
188767 |
Number Of Medicare Beneficiaries With Drug Services |
370 |
Total Drug Submitted ChargeAmount |
2846934.54 |
Total Drug Medicare AllowedAmount |
1343400.34 |
Total Drug Medicare PaymentAmount |
1030306.67 |
Total Drug Medicare Standardized Payment Amount |
1030306.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
7937 |
Number Of Medicare Beneficiaries With Medical Services |
738 |
Total Medical Submitted Charge Amount |
963640 |
Total Medical Medicare Allowed Amount |
415623.93 |
Total Medical Medicare Payment Amount |
316517.14 |
Total Medical Medicare Standardized Payment Amount |
303730.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
288 |
Number Of Non Hispanic White Beneficiaries |
527 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
62 |
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
623 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6333 |