National Provider Identifier [NPI]: |
1215966775 |
Last Name Of The Provider |
HAMID |
First Name Of The Provider |
OMID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 SANTA MONICA BLVD |
Street Address 2 Of The Provider |
SUITE 560W |
City Of The Provider |
SANTA MONICA |
Zip Code Of The Provider |
904042102 |
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 |
115 |
Number Of Services |
35455 |
Number Of Medicare Beneficiaries |
323 |
Total Submitted Charge Amount |
4368981 |
Total Medicare Allowed Amount |
2172900.88 |
Total Medicare Payment Amount |
1682987.21 |
Total Medicare Standardized Payment Amount |
1668530.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
41 |
Number Of Drug Services |
29967 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
3096951 |
Total Drug Medicare AllowedAmount |
1693599.48 |
Total Drug Medicare PaymentAmount |
1311571.33 |
Total Drug Medicare Standardized Payment Amount |
1311571.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
5488 |
Number Of Medicare Beneficiaries With Medical Services |
323 |
Total Medical Submitted Charge Amount |
1272030 |
Total Medical Medicare Allowed Amount |
479301.4 |
Total Medical Medicare Payment Amount |
371415.88 |
Total Medical Medicare Standardized Payment Amount |
356959.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
115 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
289 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8864 |