National Provider Identifier [NPI]: |
1033162904 |
Last Name Of The Provider |
ARBAJE |
First Name Of The Provider |
YAMIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 JOHN Q HAMMONS DR |
Street Address 2 Of The Provider |
DEAN HEMATOLOGY & ONCOLOGY CENTER |
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537171959 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
40148 |
Number Of Medicare Beneficiaries |
444 |
Total Submitted Charge Amount |
2125503.5 |
Total Medicare Allowed Amount |
920336.27 |
Total Medicare Payment Amount |
715959.14 |
Total Medicare Standardized Payment Amount |
718077.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
37462 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
1571745.5 |
Total Drug Medicare AllowedAmount |
762508.51 |
Total Drug Medicare PaymentAmount |
597317.29 |
Total Drug Medicare Standardized Payment Amount |
597317.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
2686 |
Number Of Medicare Beneficiaries With Medical Services |
444 |
Total Medical Submitted Charge Amount |
553758 |
Total Medical Medicare Allowed Amount |
157827.76 |
Total Medical Medicare Payment Amount |
118641.85 |
Total Medical Medicare Standardized Payment Amount |
120760.19 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
266 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
|
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 |
379 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5411 |