National Provider Identifier [NPI]: |
1598790602 |
Last Name Of The Provider |
MAKALINAO |
First Name Of The Provider |
ALEX |
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 |
6801 PARK TERRACE |
Street Address 2 Of The Provider |
130 |
City Of The Provider |
LA |
Zip Code Of The Provider |
900454025 |
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 |
61 |
Number Of Services |
74000 |
Number Of Medicare Beneficiaries |
479 |
Total Submitted Charge Amount |
1716036.74 |
Total Medicare Allowed Amount |
1330060.91 |
Total Medicare Payment Amount |
1033205.48 |
Total Medicare Standardized Payment Amount |
1011460.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
39 |
Number Of Drug Services |
71157 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
1343228.58 |
Total Drug Medicare AllowedAmount |
1037973.63 |
Total Drug Medicare PaymentAmount |
812155.35 |
Total Drug Medicare Standardized Payment Amount |
812155.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2843 |
Number Of Medicare Beneficiaries With Medical Services |
479 |
Total Medical Submitted Charge Amount |
372808.16 |
Total Medical Medicare Allowed Amount |
292087.28 |
Total Medical Medicare Payment Amount |
221050.13 |
Total Medical Medicare Standardized Payment Amount |
199305.33 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
294 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
222 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
101 |
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0582 |