National Provider Identifier [NPI]: |
1295953123 |
Last Name Of The Provider |
TAMURA |
First Name Of The Provider |
DAVID |
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 |
2226 LILIHA ST |
Street Address 2 Of The Provider |
B2 LEVEL |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968171600 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
63510 |
Number Of Medicare Beneficiaries |
247 |
Total Submitted Charge Amount |
2116515.47 |
Total Medicare Allowed Amount |
1445328.29 |
Total Medicare Payment Amount |
1052692.89 |
Total Medicare Standardized Payment Amount |
1048074.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
58491 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
1758677.61 |
Total Drug Medicare AllowedAmount |
1222696.67 |
Total Drug Medicare PaymentAmount |
885577.57 |
Total Drug Medicare Standardized Payment Amount |
885577.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5019 |
Number Of Medicare Beneficiaries With Medical Services |
247 |
Total Medical Submitted Charge Amount |
357837.86 |
Total Medical Medicare Allowed Amount |
222631.62 |
Total Medical Medicare Payment Amount |
167115.32 |
Total Medical Medicare Standardized Payment Amount |
162497.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
108 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
110 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
66 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
139 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
54 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1134 |