National Provider Identifier [NPI]: |
1104822600 |
Last Name Of The Provider |
MCANDREW |
First Name Of The Provider |
PHILOMENA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9090 WILSHIRE BLVD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902111850 |
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 |
45 |
Number Of Services |
17930 |
Number Of Medicare Beneficiaries |
602 |
Total Submitted Charge Amount |
984112 |
Total Medicare Allowed Amount |
392502.79 |
Total Medicare Payment Amount |
304661.98 |
Total Medicare Standardized Payment Amount |
293776.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
15118 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
389388 |
Total Drug Medicare AllowedAmount |
186220.58 |
Total Drug Medicare PaymentAmount |
146192.34 |
Total Drug Medicare Standardized Payment Amount |
146192.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2812 |
Number Of Medicare Beneficiaries With Medical Services |
602 |
Total Medical Submitted Charge Amount |
594724 |
Total Medical Medicare Allowed Amount |
206282.21 |
Total Medical Medicare Payment Amount |
158469.64 |
Total Medical Medicare Standardized Payment Amount |
147583.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
562 |
Number Of Male Beneficiaries |
40 |
Number Of Non Hispanic White Beneficiaries |
509 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
29 |
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 |
540 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
75 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4088 |