National Provider Identifier [NPI]: |
1235149410 |
Last Name Of The Provider |
ALLEN |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3730 S EASTERN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891093321 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
84888 |
Number Of Medicare Beneficiaries |
710 |
Total Submitted Charge Amount |
9846951 |
Total Medicare Allowed Amount |
3408050.47 |
Total Medicare Payment Amount |
2665646.84 |
Total Medicare Standardized Payment Amount |
2654530.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
75796 |
Number Of Medicare Beneficiaries With Drug Services |
172 |
Total Drug Submitted ChargeAmount |
8478291 |
Total Drug Medicare AllowedAmount |
2988749.58 |
Total Drug Medicare PaymentAmount |
2332485.65 |
Total Drug Medicare Standardized Payment Amount |
2332485.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
9092 |
Number Of Medicare Beneficiaries With Medical Services |
710 |
Total Medical Submitted Charge Amount |
1368660 |
Total Medical Medicare Allowed Amount |
419300.89 |
Total Medical Medicare Payment Amount |
333161.19 |
Total Medical Medicare Standardized Payment Amount |
322044.65 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
648 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
572 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
75 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2466 |