National Provider Identifier [NPI]: |
1861482853 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
WEI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 WEBSTER ST |
Street Address 2 Of The Provider |
SUITE 326 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941152373 |
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 |
72 |
Number Of Services |
29568 |
Number Of Medicare Beneficiaries |
198 |
Total Submitted Charge Amount |
1814660.4 |
Total Medicare Allowed Amount |
893648.83 |
Total Medicare Payment Amount |
689368.09 |
Total Medicare Standardized Payment Amount |
671751.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
38 |
Number Of Drug Services |
27572 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
1563665.4 |
Total Drug Medicare AllowedAmount |
769292.07 |
Total Drug Medicare PaymentAmount |
595759.88 |
Total Drug Medicare Standardized Payment Amount |
595759.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1996 |
Number Of Medicare Beneficiaries With Medical Services |
195 |
Total Medical Submitted Charge Amount |
250995 |
Total Medical Medicare Allowed Amount |
124356.76 |
Total Medical Medicare Payment Amount |
93608.21 |
Total Medical Medicare Standardized Payment Amount |
75991.14 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
153 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
120 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
171 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
66 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3586 |