National Provider Identifier [NPI]: |
1962490797 |
Last Name Of The Provider |
BLAU |
First Name Of The Provider |
SIBEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2920 SOUTH MERIDIAN |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
PUYALLUP |
Zip Code Of The Provider |
983731428 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
143806 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
4852581.12 |
Total Medicare Allowed Amount |
2558495.54 |
Total Medicare Payment Amount |
1969697.49 |
Total Medicare Standardized Payment Amount |
1968099.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
130052 |
Number Of Medicare Beneficiaries With Drug Services |
337 |
Total Drug Submitted ChargeAmount |
3861721 |
Total Drug Medicare AllowedAmount |
2081510.1 |
Total Drug Medicare PaymentAmount |
1596279.86 |
Total Drug Medicare Standardized Payment Amount |
1596279.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
13754 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
990860.12 |
Total Medical Medicare Allowed Amount |
476985.44 |
Total Medical Medicare Payment Amount |
373417.63 |
Total Medical Medicare Standardized Payment Amount |
371819.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
411 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
521 |
Number Of Black or African American Beneficiaries |
14 |
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 |
503 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
60 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9662 |