National Provider Identifier [NPI]: |
1518071208 |
Last Name Of The Provider |
DAO |
First Name Of The Provider |
KHOI |
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 |
10001 S EASTERN AVE |
Street Address 2 Of The Provider |
SUITE 108 |
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
890523908 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
192 |
Number Of Services |
252065 |
Number Of Medicare Beneficiaries |
1027 |
Total Submitted Charge Amount |
13863154 |
Total Medicare Allowed Amount |
3708303.62 |
Total Medicare Payment Amount |
2874901.71 |
Total Medicare Standardized Payment Amount |
2858169.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
235184 |
Number Of Medicare Beneficiaries With Drug Services |
411 |
Total Drug Submitted ChargeAmount |
11487972 |
Total Drug Medicare AllowedAmount |
3006803.98 |
Total Drug Medicare PaymentAmount |
2327216.58 |
Total Drug Medicare Standardized Payment Amount |
2327216.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
16881 |
Number Of Medicare Beneficiaries With Medical Services |
1027 |
Total Medical Submitted Charge Amount |
2375182 |
Total Medical Medicare Allowed Amount |
701499.64 |
Total Medical Medicare Payment Amount |
547685.13 |
Total Medical Medicare Standardized Payment Amount |
530952.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
484 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
443 |
Number Of Non Hispanic White Beneficiaries |
824 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
941 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7465 |