National Provider Identifier [NPI]: |
1295714384 |
Last Name Of The Provider |
HON |
First Name Of The Provider |
JEREMY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 CCI DR NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358052606 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
205 |
Number Of Services |
456758 |
Number Of Medicare Beneficiaries |
1430 |
Total Submitted Charge Amount |
15286657 |
Total Medicare Allowed Amount |
6569634.07 |
Total Medicare Payment Amount |
4859960.95 |
Total Medicare Standardized Payment Amount |
4916226.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
103 |
Number Of Drug Services |
428903 |
Number Of Medicare Beneficiaries With Drug Services |
553 |
Total Drug Submitted ChargeAmount |
13206192.5 |
Total Drug Medicare AllowedAmount |
5610157.88 |
Total Drug Medicare PaymentAmount |
4108783.49 |
Total Drug Medicare Standardized Payment Amount |
4108783.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
27855 |
Number Of Medicare Beneficiaries With Medical Services |
1429 |
Total Medical Submitted Charge Amount |
2080464.5 |
Total Medical Medicare Allowed Amount |
959476.19 |
Total Medical Medicare Payment Amount |
751177.46 |
Total Medical Medicare Standardized Payment Amount |
807442.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
644 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
840 |
Number Of Male Beneficiaries |
590 |
Number Of Non Hispanic White Beneficiaries |
1212 |
Number Of Black or African American Beneficiaries |
183 |
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
1256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9436 |