National Provider Identifier [NPI]: |
1952374464 |
Last Name Of The Provider |
MADANI |
First Name Of The Provider |
ALI |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2625 N CRAYCROFT RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857122254 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
165345 |
Number Of Medicare Beneficiaries |
739 |
Total Submitted Charge Amount |
10106532 |
Total Medicare Allowed Amount |
3055944.09 |
Total Medicare Payment Amount |
2379377.87 |
Total Medicare Standardized Payment Amount |
2374459.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
69 |
Number Of Drug Services |
158622 |
Number Of Medicare Beneficiaries With Drug Services |
176 |
Total Drug Submitted ChargeAmount |
8640679 |
Total Drug Medicare AllowedAmount |
2593486.95 |
Total Drug Medicare PaymentAmount |
2030783.35 |
Total Drug Medicare Standardized Payment Amount |
2030783.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
6723 |
Number Of Medicare Beneficiaries With Medical Services |
739 |
Total Medical Submitted Charge Amount |
1465853 |
Total Medical Medicare Allowed Amount |
462457.14 |
Total Medical Medicare Payment Amount |
348594.52 |
Total Medical Medicare Standardized Payment Amount |
343676.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
445 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
666 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
703 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5028 |