National Provider Identifier [NPI]: |
1952445223 |
Last Name Of The Provider |
THUMMA |
First Name Of The Provider |
SARITHA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 S SHERMAN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992021311 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
187392 |
Number Of Medicare Beneficiaries |
723 |
Total Submitted Charge Amount |
9105205.93 |
Total Medicare Allowed Amount |
2860504.4 |
Total Medicare Payment Amount |
2229851.37 |
Total Medicare Standardized Payment Amount |
2225609.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
76 |
Number Of Drug Services |
177851 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
7275480.93 |
Total Drug Medicare AllowedAmount |
2258334.58 |
Total Drug Medicare PaymentAmount |
1764901.55 |
Total Drug Medicare Standardized Payment Amount |
1764901.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
9541 |
Number Of Medicare Beneficiaries With Medical Services |
722 |
Total Medical Submitted Charge Amount |
1829725 |
Total Medical Medicare Allowed Amount |
602169.82 |
Total Medical Medicare Payment Amount |
464949.82 |
Total Medical Medicare Standardized Payment Amount |
460708.1 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
340 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
499 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
668 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
609 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.7671 |