National Provider Identifier [NPI]: |
1124060256 |
Last Name Of The Provider |
TOKAZ |
First Name Of The Provider |
LAURENCE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4101 JAMES CASEY ST STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787453325 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
98528 |
Number Of Medicare Beneficiaries |
566 |
Total Submitted Charge Amount |
5012510 |
Total Medicare Allowed Amount |
1555685.95 |
Total Medicare Payment Amount |
1214339.96 |
Total Medicare Standardized Payment Amount |
1216837.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
87519 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
3576813 |
Total Drug Medicare AllowedAmount |
1156032.27 |
Total Drug Medicare PaymentAmount |
897273.77 |
Total Drug Medicare Standardized Payment Amount |
897273.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
11009 |
Number Of Medicare Beneficiaries With Medical Services |
566 |
Total Medical Submitted Charge Amount |
1435697 |
Total Medical Medicare Allowed Amount |
399653.68 |
Total Medical Medicare Payment Amount |
317066.19 |
Total Medical Medicare Standardized Payment Amount |
319563.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5501 |