National Provider Identifier [NPI]: |
1710917083 |
Last Name Of The Provider |
OCHS |
First Name Of The Provider |
ANN-MARGARET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D. O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
303 W PEARL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRANBURY |
Zip Code Of The Provider |
760482408 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
68334 |
Number Of Medicare Beneficiaries |
481 |
Total Submitted Charge Amount |
3323993 |
Total Medicare Allowed Amount |
1254138.86 |
Total Medicare Payment Amount |
970376.02 |
Total Medicare Standardized Payment Amount |
976785.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
53 |
Number Of Drug Services |
65268 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
2725263 |
Total Drug Medicare AllowedAmount |
1039453.12 |
Total Drug Medicare PaymentAmount |
810497.75 |
Total Drug Medicare Standardized Payment Amount |
810497.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3066 |
Number Of Medicare Beneficiaries With Medical Services |
481 |
Total Medical Submitted Charge Amount |
598730 |
Total Medical Medicare Allowed Amount |
214685.74 |
Total Medical Medicare Payment Amount |
159878.27 |
Total Medical Medicare Standardized Payment Amount |
166287.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
441 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
392 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0329 |