National Provider Identifier [NPI]: |
1689870487 |
Last Name Of The Provider |
VORNICU |
First Name Of The Provider |
MARIA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2425 N LAMB BLVD |
Street Address 2 Of The Provider |
STE 120 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891155420 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
6302 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
539558 |
Total Medicare Allowed Amount |
271825.78 |
Total Medicare Payment Amount |
205085.4 |
Total Medicare Standardized Payment Amount |
202430.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4470 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
23830 |
Total Drug Medicare AllowedAmount |
13203 |
Total Drug Medicare PaymentAmount |
10351.08 |
Total Drug Medicare Standardized Payment Amount |
10351.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
1832 |
Number Of Medicare Beneficiaries With Medical Services |
430 |
Total Medical Submitted Charge Amount |
515728 |
Total Medical Medicare Allowed Amount |
258622.78 |
Total Medical Medicare Payment Amount |
194734.32 |
Total Medical Medicare Standardized Payment Amount |
192079.26 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
191 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
183 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
288 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
5.3313 |