National Provider Identifier [NPI]: |
1487669933 |
Last Name Of The Provider |
TAI |
First Name Of The Provider |
EDMUND |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 E EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN VIEW |
Zip Code Of The Provider |
940402833 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
586 |
Number Of Services |
241041 |
Number Of Medicare Beneficiaries |
16424 |
Total Submitted Charge Amount |
12496391.79 |
Total Medicare Allowed Amount |
3201698.31 |
Total Medicare Payment Amount |
2922185.23 |
Total Medicare Standardized Payment Amount |
2936443.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
42824 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
2705908 |
Total Drug Medicare AllowedAmount |
900642.14 |
Total Drug Medicare PaymentAmount |
704758.88 |
Total Drug Medicare Standardized Payment Amount |
704758.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
513 |
Number Of Medical Services |
198217 |
Number Of Medicare Beneficiaries With Medical Services |
16424 |
Total Medical Submitted Charge Amount |
9790483.79 |
Total Medical Medicare Allowed Amount |
2301056.17 |
Total Medical Medicare Payment Amount |
2217426.35 |
Total Medical Medicare Standardized Payment Amount |
2231684.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
990 |
Number Of Beneficiaries Age 65 to 74 |
7802 |
Number Of Beneficiaries Age 75 to 84 |
5153 |
Number Of Beneficiaries Age Greater 84 |
2479 |
Number Of Female Beneficiaries |
9704 |
Number Of Male Beneficiaries |
6720 |
Number Of Non Hispanic White Beneficiaries |
10718 |
Number Of Black or African American Beneficiaries |
272 |
Number Of AsianPacific Islander Beneficiaries |
3537 |
Number Of Hispanic Beneficiaries |
1181 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
701 |
Number Of Beneficiaries With Medicare Only Entitlement |
13310 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
3114 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.944 |