National Provider Identifier [NPI]: |
1508833971 |
Last Name Of The Provider |
PALALAY |
First Name Of The Provider |
MELVIN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1650 LILIHA ST |
Street Address 2 Of The Provider |
#105 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968173169 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
56906 |
Number Of Medicare Beneficiaries |
306 |
Total Submitted Charge Amount |
1360638.99 |
Total Medicare Allowed Amount |
856476.82 |
Total Medicare Payment Amount |
649731.33 |
Total Medicare Standardized Payment Amount |
643673.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
55 |
Number Of Drug Services |
49518 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
968756.82 |
Total Drug Medicare AllowedAmount |
617641.49 |
Total Drug Medicare PaymentAmount |
467775.08 |
Total Drug Medicare Standardized Payment Amount |
467775.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
7388 |
Number Of Medicare Beneficiaries With Medical Services |
306 |
Total Medical Submitted Charge Amount |
391882.17 |
Total Medical Medicare Allowed Amount |
238835.33 |
Total Medical Medicare Payment Amount |
181956.25 |
Total Medical Medicare Standardized Payment Amount |
175898.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
63 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
172 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
259 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8858 |