National Provider Identifier [NPI]: |
1437182805 |
Last Name Of The Provider |
ROKHSAR |
First Name Of The Provider |
SEPEHR |
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 |
CEDARS-SINAI OUTPATIENT CANCER CENTER |
Street Address 2 Of The Provider |
8700 BEVERLY BLVD. |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
90048 |
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 |
44 |
Number Of Services |
15664 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
642994 |
Total Medicare Allowed Amount |
270865.46 |
Total Medicare Payment Amount |
212218.75 |
Total Medicare Standardized Payment Amount |
204196.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
13448 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
247104 |
Total Drug Medicare AllowedAmount |
133180.83 |
Total Drug Medicare PaymentAmount |
104461.8 |
Total Drug Medicare Standardized Payment Amount |
104461.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2216 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
395890 |
Total Medical Medicare Allowed Amount |
137684.63 |
Total Medical Medicare Payment Amount |
107756.95 |
Total Medical Medicare Standardized Payment Amount |
99735.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
293 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
252 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.4083 |