National Provider Identifier [NPI]: |
1033115068 |
Last Name Of The Provider |
WASSERMANN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 N SCOTTSDALE RD |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852515638 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
92246 |
Number Of Medicare Beneficiaries |
481 |
Total Submitted Charge Amount |
2954847.75 |
Total Medicare Allowed Amount |
1368349.84 |
Total Medicare Payment Amount |
1071347.31 |
Total Medicare Standardized Payment Amount |
1075263.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
43 |
Number Of Drug Services |
77927 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
2203881.75 |
Total Drug Medicare AllowedAmount |
1033520.08 |
Total Drug Medicare PaymentAmount |
809121.12 |
Total Drug Medicare Standardized Payment Amount |
809121.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
14319 |
Number Of Medicare Beneficiaries With Medical Services |
481 |
Total Medical Submitted Charge Amount |
750966 |
Total Medical Medicare Allowed Amount |
334829.76 |
Total Medical Medicare Payment Amount |
262226.19 |
Total Medical Medicare Standardized Payment Amount |
266142.79 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
455 |
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 |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5664 |