National Provider Identifier [NPI]: |
1013074632 |
Last Name Of The Provider |
ADLER |
First Name Of The Provider |
KENT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
218 DE ANZA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN MATEO |
Zip Code Of The Provider |
944023913 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
41247 |
Number Of Medicare Beneficiaries |
349 |
Total Submitted Charge Amount |
2126101.5 |
Total Medicare Allowed Amount |
964202.92 |
Total Medicare Payment Amount |
753546.87 |
Total Medicare Standardized Payment Amount |
720530.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
38449 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
1595974 |
Total Drug Medicare AllowedAmount |
758099.59 |
Total Drug Medicare PaymentAmount |
594217.91 |
Total Drug Medicare Standardized Payment Amount |
594217.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2798 |
Number Of Medicare Beneficiaries With Medical Services |
349 |
Total Medical Submitted Charge Amount |
530127.5 |
Total Medical Medicare Allowed Amount |
206103.33 |
Total Medical Medicare Payment Amount |
159328.96 |
Total Medical Medicare Standardized Payment Amount |
126312.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
227 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
285 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
62 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0623 |