National Provider Identifier [NPI]: |
1003980947 |
Last Name Of The Provider |
RUBIN |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5 HARRIS CT |
Street Address 2 Of The Provider |
BLDG T, 2ND FL SUITE 201 |
City Of The Provider |
MONTEREY |
Zip Code Of The Provider |
939405750 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
186120 |
Number Of Medicare Beneficiaries |
561 |
Total Submitted Charge Amount |
4113716.59 |
Total Medicare Allowed Amount |
1865657.91 |
Total Medicare Payment Amount |
1384863.14 |
Total Medicare Standardized Payment Amount |
1367897.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
178466 |
Number Of Medicare Beneficiaries With Drug Services |
285 |
Total Drug Submitted ChargeAmount |
3141546.5 |
Total Drug Medicare AllowedAmount |
1439531.43 |
Total Drug Medicare PaymentAmount |
1060607.58 |
Total Drug Medicare Standardized Payment Amount |
1060607.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
7654 |
Number Of Medicare Beneficiaries With Medical Services |
559 |
Total Medical Submitted Charge Amount |
972170.09 |
Total Medical Medicare Allowed Amount |
426126.48 |
Total Medical Medicare Payment Amount |
324255.56 |
Total Medical Medicare Standardized Payment Amount |
307290.02 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
440 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
433 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
501 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4551 |