National Provider Identifier [NPI]: |
1821015793 |
Last Name Of The Provider |
DUMASIA |
First Name Of The Provider |
LENA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1858 CHARTER LN |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176016743 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
90362 |
Number Of Medicare Beneficiaries |
315 |
Total Submitted Charge Amount |
1386781.06 |
Total Medicare Allowed Amount |
820095.28 |
Total Medicare Payment Amount |
638985.55 |
Total Medicare Standardized Payment Amount |
639192.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
84668 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
1117402.06 |
Total Drug Medicare AllowedAmount |
649438.79 |
Total Drug Medicare PaymentAmount |
506469.32 |
Total Drug Medicare Standardized Payment Amount |
506469.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
5694 |
Number Of Medicare Beneficiaries With Medical Services |
314 |
Total Medical Submitted Charge Amount |
269379 |
Total Medical Medicare Allowed Amount |
170656.49 |
Total Medical Medicare Payment Amount |
132516.23 |
Total Medical Medicare Standardized Payment Amount |
132722.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
223 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
291 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
288 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6813 |