National Provider Identifier [NPI]: |
1952482655 |
Last Name Of The Provider |
THAMBI |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9707 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503348 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
75556 |
Number Of Medicare Beneficiaries |
617 |
Total Submitted Charge Amount |
2319043.92 |
Total Medicare Allowed Amount |
1541816.51 |
Total Medicare Payment Amount |
1207862.59 |
Total Medicare Standardized Payment Amount |
1179005.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
67 |
Number Of Drug Services |
68115 |
Number Of Medicare Beneficiaries With Drug Services |
231 |
Total Drug Submitted ChargeAmount |
1760845.86 |
Total Drug Medicare AllowedAmount |
1204266.59 |
Total Drug Medicare PaymentAmount |
943637.95 |
Total Drug Medicare Standardized Payment Amount |
943637.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7441 |
Number Of Medicare Beneficiaries With Medical Services |
617 |
Total Medical Submitted Charge Amount |
558198.06 |
Total Medical Medicare Allowed Amount |
337549.92 |
Total Medical Medicare Payment Amount |
264224.64 |
Total Medical Medicare Standardized Payment Amount |
235367.84 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
297 |
Number Of Non Hispanic White Beneficiaries |
472 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
49 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8705 |