National Provider Identifier [NPI]: |
1295871747 |
Last Name Of The Provider |
CHOI |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5750 W THUNDERBIRD RD |
Street Address 2 Of The Provider |
C300 |
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
853064660 |
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 |
107 |
Number Of Services |
66192 |
Number Of Medicare Beneficiaries |
586 |
Total Submitted Charge Amount |
3104009 |
Total Medicare Allowed Amount |
1410723.8 |
Total Medicare Payment Amount |
1096689.06 |
Total Medicare Standardized Payment Amount |
1097833.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
58 |
Number Of Drug Services |
62348 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
2326313 |
Total Drug Medicare AllowedAmount |
1082806.66 |
Total Drug Medicare PaymentAmount |
845705.77 |
Total Drug Medicare Standardized Payment Amount |
845705.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3844 |
Number Of Medicare Beneficiaries With Medical Services |
586 |
Total Medical Submitted Charge Amount |
777696 |
Total Medical Medicare Allowed Amount |
327917.14 |
Total Medical Medicare Payment Amount |
250983.29 |
Total Medical Medicare Standardized Payment Amount |
252128.16 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
514 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8157 |