National Provider Identifier [NPI]: |
1396783122 |
Last Name Of The Provider |
EFIOM-EKAHA |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25 MONUMENT RD |
Street Address 2 Of The Provider |
SUITE 294 |
City Of The Provider |
YORK |
Zip Code Of The Provider |
174035060 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
179870 |
Number Of Medicare Beneficiaries |
793 |
Total Submitted Charge Amount |
4387434.98 |
Total Medicare Allowed Amount |
2496297.26 |
Total Medicare Payment Amount |
1950841.57 |
Total Medicare Standardized Payment Amount |
1956729.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
171219 |
Number Of Medicare Beneficiaries With Drug Services |
354 |
Total Drug Submitted ChargeAmount |
3808097.27 |
Total Drug Medicare AllowedAmount |
2142386.72 |
Total Drug Medicare PaymentAmount |
1672489.07 |
Total Drug Medicare Standardized Payment Amount |
1672489.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
8651 |
Number Of Medicare Beneficiaries With Medical Services |
792 |
Total Medical Submitted Charge Amount |
579337.71 |
Total Medical Medicare Allowed Amount |
353910.54 |
Total Medical Medicare Payment Amount |
278352.5 |
Total Medical Medicare Standardized Payment Amount |
284240.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
332 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
713 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
686 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0518 |