National Provider Identifier [NPI]: |
1730218876 |
Last Name Of The Provider |
HERMS |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8000 5 MILE RD |
Street Address 2 Of The Provider |
#100 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452302163 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
135830 |
Number Of Medicare Beneficiaries |
621 |
Total Submitted Charge Amount |
5443974.7 |
Total Medicare Allowed Amount |
1883649.59 |
Total Medicare Payment Amount |
1467728.43 |
Total Medicare Standardized Payment Amount |
1478116.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
128747 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
4199180.7 |
Total Drug Medicare AllowedAmount |
1531142.76 |
Total Drug Medicare PaymentAmount |
1197234.69 |
Total Drug Medicare Standardized Payment Amount |
1197234.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
7083 |
Number Of Medicare Beneficiaries With Medical Services |
621 |
Total Medical Submitted Charge Amount |
1244794 |
Total Medical Medicare Allowed Amount |
352506.83 |
Total Medical Medicare Payment Amount |
270493.74 |
Total Medical Medicare Standardized Payment Amount |
280881.33 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
259 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
393 |
Number Of Male Beneficiaries |
228 |
Number Of Non Hispanic White Beneficiaries |
583 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
434 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0297 |