National Provider Identifier [NPI]: |
1861611931 |
Last Name Of The Provider |
SHAYE |
First Name Of The Provider |
OMID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7320 WOODLAKE AVE |
Street Address 2 Of The Provider |
SUITE 330 |
City Of The Provider |
WEST HILLS |
Zip Code Of The Provider |
913071474 |
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 |
120 |
Number Of Services |
100257 |
Number Of Medicare Beneficiaries |
655 |
Total Submitted Charge Amount |
4713287.48 |
Total Medicare Allowed Amount |
2173114.93 |
Total Medicare Payment Amount |
1677466.42 |
Total Medicare Standardized Payment Amount |
1625857.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
68 |
Number Of Drug Services |
81726 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
3040150.48 |
Total Drug Medicare AllowedAmount |
1401228.31 |
Total Drug Medicare PaymentAmount |
1063080.07 |
Total Drug Medicare Standardized Payment Amount |
1063080.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
18531 |
Number Of Medicare Beneficiaries With Medical Services |
655 |
Total Medical Submitted Charge Amount |
1673137 |
Total Medical Medicare Allowed Amount |
771886.62 |
Total Medical Medicare Payment Amount |
614386.35 |
Total Medical Medicare Standardized Payment Amount |
562776.97 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
566 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
546 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9231 |