National Provider Identifier [NPI]: |
1912984766 |
Last Name Of The Provider |
OZA |
First Name Of The Provider |
YAGNESH |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4117 VETERANS MEMORIAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNT VERNON |
Zip Code Of The Provider |
628646262 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
275001 |
Number Of Medicare Beneficiaries |
1035 |
Total Submitted Charge Amount |
22366264.5 |
Total Medicare Allowed Amount |
5467645.14 |
Total Medicare Payment Amount |
4264971.43 |
Total Medicare Standardized Payment Amount |
4279638.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
252606 |
Number Of Medicare Beneficiaries With Drug Services |
366 |
Total Drug Submitted ChargeAmount |
13256394.5 |
Total Drug Medicare AllowedAmount |
3894671.74 |
Total Drug Medicare PaymentAmount |
3042222.37 |
Total Drug Medicare Standardized Payment Amount |
3042222.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
22395 |
Number Of Medicare Beneficiaries With Medical Services |
1035 |
Total Medical Submitted Charge Amount |
9109870 |
Total Medical Medicare Allowed Amount |
1572973.4 |
Total Medical Medicare Payment Amount |
1222749.06 |
Total Medical Medicare Standardized Payment Amount |
1237416.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
408 |
Number Of Beneficiaries Age 75 to 84 |
360 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
612 |
Number Of Male Beneficiaries |
423 |
Number Of Non Hispanic White Beneficiaries |
1004 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
820 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.709 |