National Provider Identifier [NPI]: |
1336147263 |
Last Name Of The Provider |
WEEKS |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1936 W POPLAR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLLIERVILLE |
Zip Code Of The Provider |
380170605 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
10759 |
Number Of Medicare Beneficiaries |
954 |
Total Submitted Charge Amount |
1267682 |
Total Medicare Allowed Amount |
384898.59 |
Total Medicare Payment Amount |
261933.88 |
Total Medicare Standardized Payment Amount |
286998.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
28 |
Number Of Drug Services |
1981 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
121469 |
Total Drug Medicare AllowedAmount |
33912.2 |
Total Drug Medicare PaymentAmount |
2933.8 |
Total Drug Medicare Standardized Payment Amount |
2933.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
8778 |
Number Of Medicare Beneficiaries With Medical Services |
954 |
Total Medical Submitted Charge Amount |
1146213 |
Total Medical Medicare Allowed Amount |
350986.39 |
Total Medical Medicare Payment Amount |
259000.08 |
Total Medical Medicare Standardized Payment Amount |
284064.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
591 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
703 |
Number Of Black or African American Beneficiaries |
237 |
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 |
755 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9315 |