National Provider Identifier [NPI]: |
1568419588 |
Last Name Of The Provider |
JODHANI |
First Name Of The Provider |
MADHU |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
481 PLUMAS BLVD |
Street Address 2 Of The Provider |
102 |
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959915075 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
34359 |
Number Of Medicare Beneficiaries |
884 |
Total Submitted Charge Amount |
1383908 |
Total Medicare Allowed Amount |
758400.41 |
Total Medicare Payment Amount |
535294.9 |
Total Medicare Standardized Payment Amount |
540476.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
43 |
Number Of Drug Services |
29019 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
822575 |
Total Drug Medicare AllowedAmount |
355801.97 |
Total Drug Medicare PaymentAmount |
246863.41 |
Total Drug Medicare Standardized Payment Amount |
246863.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
5340 |
Number Of Medicare Beneficiaries With Medical Services |
883 |
Total Medical Submitted Charge Amount |
561333 |
Total Medical Medicare Allowed Amount |
402598.44 |
Total Medical Medicare Payment Amount |
288431.49 |
Total Medical Medicare Standardized Payment Amount |
293613.2 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
330 |
Number Of Non Hispanic White Beneficiaries |
553 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
194 |
Number Of Hispanic Beneficiaries |
101 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
363 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5644 |