National Provider Identifier [NPI]: |
1205937646 |
Last Name Of The Provider |
EISENBERG |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1350 S ELISEO DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GREENBRAE |
Zip Code Of The Provider |
949042011 |
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 |
96 |
Number Of Services |
56509 |
Number Of Medicare Beneficiaries |
312 |
Total Submitted Charge Amount |
2386348 |
Total Medicare Allowed Amount |
898160.28 |
Total Medicare Payment Amount |
701007.73 |
Total Medicare Standardized Payment Amount |
673278.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
50 |
Number Of Drug Services |
54290 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
1842641 |
Total Drug Medicare AllowedAmount |
700198.63 |
Total Drug Medicare PaymentAmount |
548834.21 |
Total Drug Medicare Standardized Payment Amount |
548834.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2219 |
Number Of Medicare Beneficiaries With Medical Services |
312 |
Total Medical Submitted Charge Amount |
543707 |
Total Medical Medicare Allowed Amount |
197961.65 |
Total Medical Medicare Payment Amount |
152173.52 |
Total Medical Medicare Standardized Payment Amount |
124443.91 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
288 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.743 |