National Provider Identifier [NPI]: |
1780653857 |
Last Name Of The Provider |
SALEH |
First Name Of The Provider |
ALFRED |
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 |
3075 HEALTH CENTER DR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921232773 |
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 |
87 |
Number Of Services |
128868 |
Number Of Medicare Beneficiaries |
311 |
Total Submitted Charge Amount |
3091594.5 |
Total Medicare Allowed Amount |
1497402.75 |
Total Medicare Payment Amount |
1172273.27 |
Total Medicare Standardized Payment Amount |
1161911.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
42 |
Number Of Drug Services |
123382 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
2725101 |
Total Drug Medicare AllowedAmount |
1298379.88 |
Total Drug Medicare PaymentAmount |
1016043.45 |
Total Drug Medicare Standardized Payment Amount |
1016043.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
5486 |
Number Of Medicare Beneficiaries With Medical Services |
311 |
Total Medical Submitted Charge Amount |
366493.5 |
Total Medical Medicare Allowed Amount |
199022.87 |
Total Medical Medicare Payment Amount |
156229.82 |
Total Medical Medicare Standardized Payment Amount |
145867.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
231 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
250 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7201 |