National Provider Identifier [NPI]: |
1518070812 |
Last Name Of The Provider |
O'DAY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2121 SANTA MONICA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA MONICA |
Zip Code Of The Provider |
904042303 |
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 |
84 |
Number Of Services |
36852 |
Number Of Medicare Beneficiaries |
131 |
Total Submitted Charge Amount |
7374987.4 |
Total Medicare Allowed Amount |
2669579.76 |
Total Medicare Payment Amount |
2095848.54 |
Total Medicare Standardized Payment Amount |
2087374.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
32 |
Number Of Drug Services |
32473 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
5560795.4 |
Total Drug Medicare AllowedAmount |
2100863.5 |
Total Drug Medicare PaymentAmount |
1647066.71 |
Total Drug Medicare Standardized Payment Amount |
1647066.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4379 |
Number Of Medicare Beneficiaries With Medical Services |
130 |
Total Medical Submitted Charge Amount |
1814192 |
Total Medical Medicare Allowed Amount |
568716.26 |
Total Medical Medicare Payment Amount |
448781.83 |
Total Medical Medicare Standardized Payment Amount |
440307.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
67 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
55 |
Number Of Male Beneficiaries |
76 |
Number Of Non Hispanic White Beneficiaries |
115 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.8349 |