National Provider Identifier [NPI]: |
1295770972 |
Last Name Of The Provider |
RABINOWITZ |
First Name Of The Provider |
MAX |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2925 DEBARR RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ANCHORAGE |
Zip Code Of The Provider |
995082983 |
State Code Of The Provider |
AK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
48409 |
Number Of Medicare Beneficiaries |
331 |
Total Submitted Charge Amount |
2069087 |
Total Medicare Allowed Amount |
1057474.38 |
Total Medicare Payment Amount |
819821.12 |
Total Medicare Standardized Payment Amount |
794967.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
67 |
Number Of Drug Services |
46407 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
1406970 |
Total Drug Medicare AllowedAmount |
864632.57 |
Total Drug Medicare PaymentAmount |
671877.6 |
Total Drug Medicare Standardized Payment Amount |
671877.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2002 |
Number Of Medicare Beneficiaries With Medical Services |
331 |
Total Medical Submitted Charge Amount |
662117 |
Total Medical Medicare Allowed Amount |
192841.81 |
Total Medical Medicare Payment Amount |
147943.52 |
Total Medical Medicare Standardized Payment Amount |
123090.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
285 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
278 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6787 |