National Provider Identifier [NPI]: |
1588688592 |
Last Name Of The Provider |
ONDREYCO |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7200 W BELL RD BLDG A |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
853088529 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
146967 |
Number Of Medicare Beneficiaries |
910 |
Total Submitted Charge Amount |
11581026 |
Total Medicare Allowed Amount |
3421958.58 |
Total Medicare Payment Amount |
2685368.17 |
Total Medicare Standardized Payment Amount |
2686606.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
133882 |
Number Of Medicare Beneficiaries With Drug Services |
180 |
Total Drug Submitted ChargeAmount |
9648597 |
Total Drug Medicare AllowedAmount |
2798014.82 |
Total Drug Medicare PaymentAmount |
2189245.19 |
Total Drug Medicare Standardized Payment Amount |
2189245.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
13085 |
Number Of Medicare Beneficiaries With Medical Services |
910 |
Total Medical Submitted Charge Amount |
1932429 |
Total Medical Medicare Allowed Amount |
623943.76 |
Total Medical Medicare Payment Amount |
496122.98 |
Total Medical Medicare Standardized Payment Amount |
497361.48 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
726 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
830 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
877 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
67 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4375 |