National Provider Identifier [NPI]: |
1396723425 |
Last Name Of The Provider |
CAMORIANO |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13400 E SHEA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852595404 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
71882 |
Number Of Medicare Beneficiaries |
1010 |
Total Submitted Charge Amount |
2450211.82 |
Total Medicare Allowed Amount |
1770754.57 |
Total Medicare Payment Amount |
1332419.5 |
Total Medicare Standardized Payment Amount |
1339255.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
94 |
Number Of Drug Services |
69155 |
Number Of Medicare Beneficiaries With Drug Services |
513 |
Total Drug Submitted ChargeAmount |
2112426.51 |
Total Drug Medicare AllowedAmount |
1556596.01 |
Total Drug Medicare PaymentAmount |
1173521.39 |
Total Drug Medicare Standardized Payment Amount |
1173521.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2727 |
Number Of Medicare Beneficiaries With Medical Services |
941 |
Total Medical Submitted Charge Amount |
337785.31 |
Total Medical Medicare Allowed Amount |
214158.56 |
Total Medical Medicare Payment Amount |
158898.11 |
Total Medical Medicare Standardized Payment Amount |
165734.22 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
483 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
519 |
Number Of Male Beneficiaries |
491 |
Number Of Non Hispanic White Beneficiaries |
928 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
978 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
2.1149 |