National Provider Identifier [NPI]: |
1245239565 |
Last Name Of The Provider |
KNOST |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8940 N WOOD SAGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
616157822 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
189 |
Number Of Services |
157627 |
Number Of Medicare Beneficiaries |
1169 |
Total Submitted Charge Amount |
7441145.5 |
Total Medicare Allowed Amount |
2168224.75 |
Total Medicare Payment Amount |
1688451.95 |
Total Medicare Standardized Payment Amount |
1697853.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
93 |
Number Of Drug Services |
148594 |
Number Of Medicare Beneficiaries With Drug Services |
633 |
Total Drug Submitted ChargeAmount |
5117989.5 |
Total Drug Medicare AllowedAmount |
1660803.86 |
Total Drug Medicare PaymentAmount |
1290507.54 |
Total Drug Medicare Standardized Payment Amount |
1290507.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
9033 |
Number Of Medicare Beneficiaries With Medical Services |
1166 |
Total Medical Submitted Charge Amount |
2323156 |
Total Medical Medicare Allowed Amount |
507420.89 |
Total Medical Medicare Payment Amount |
397944.41 |
Total Medical Medicare Standardized Payment Amount |
407345.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
530 |
Number Of Beneficiaries Age 75 to 84 |
379 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
634 |
Number Of Male Beneficiaries |
535 |
Number Of Non Hispanic White Beneficiaries |
1062 |
Number Of Black or African American Beneficiaries |
87 |
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 |
1011 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9932 |