National Provider Identifier [NPI]: |
1619916772 |
Last Name Of The Provider |
MCINTYRE |
First Name Of The Provider |
ROSEMARY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 N ROSE AVE |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
OXNARD |
Zip Code Of The Provider |
930303790 |
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 |
130 |
Number Of Services |
92138 |
Number Of Medicare Beneficiaries |
602 |
Total Submitted Charge Amount |
3238230.72 |
Total Medicare Allowed Amount |
1583120.46 |
Total Medicare Payment Amount |
1221652.78 |
Total Medicare Standardized Payment Amount |
1195982.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
75194 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
2558732.97 |
Total Drug Medicare AllowedAmount |
1182715.8 |
Total Drug Medicare PaymentAmount |
911308.06 |
Total Drug Medicare Standardized Payment Amount |
911308.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
16944 |
Number Of Medicare Beneficiaries With Medical Services |
602 |
Total Medical Submitted Charge Amount |
679497.75 |
Total Medical Medicare Allowed Amount |
400404.66 |
Total Medical Medicare Payment Amount |
310344.72 |
Total Medical Medicare Standardized Payment Amount |
284674.35 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
416 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
113 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
499 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9937 |