National Provider Identifier [NPI]: |
1023034022 |
Last Name Of The Provider |
ONG |
First Name Of The Provider |
DELPHINE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 C STREET |
Street Address 2 Of The Provider |
BUILDING 500 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
95816 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
79700 |
Number Of Medicare Beneficiaries |
556 |
Total Submitted Charge Amount |
8119549.92 |
Total Medicare Allowed Amount |
1744194.28 |
Total Medicare Payment Amount |
1361869.18 |
Total Medicare Standardized Payment Amount |
1346487.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
69961 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
6988356.92 |
Total Drug Medicare AllowedAmount |
1458105.48 |
Total Drug Medicare PaymentAmount |
1143077.83 |
Total Drug Medicare Standardized Payment Amount |
1143077.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
9739 |
Number Of Medicare Beneficiaries With Medical Services |
555 |
Total Medical Submitted Charge Amount |
1131193 |
Total Medical Medicare Allowed Amount |
286088.8 |
Total Medical Medicare Payment Amount |
218791.35 |
Total Medical Medicare Standardized Payment Amount |
203409.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
252 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
389 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
74 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5668 |