National Provider Identifier [NPI]: |
1043234370 |
Last Name Of The Provider |
SALMON |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 E WT HARRIS BLVD |
Street Address 2 Of The Provider |
BLDG 1000, SUITE 1214(2ND FLOOR) |
City Of The Provider |
CHARLOTTE |
Zip Code Of The Provider |
282623485 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
323732 |
Number Of Medicare Beneficiaries |
210 |
Total Submitted Charge Amount |
6619059 |
Total Medicare Allowed Amount |
2520145.32 |
Total Medicare Payment Amount |
1968153.86 |
Total Medicare Standardized Payment Amount |
1975144.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
318259 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
5814903 |
Total Drug Medicare AllowedAmount |
2306325.93 |
Total Drug Medicare PaymentAmount |
1803890.58 |
Total Drug Medicare Standardized Payment Amount |
1803890.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
5473 |
Number Of Medicare Beneficiaries With Medical Services |
210 |
Total Medical Submitted Charge Amount |
804156 |
Total Medical Medicare Allowed Amount |
213819.39 |
Total Medical Medicare Payment Amount |
164263.28 |
Total Medical Medicare Standardized Payment Amount |
171253.76 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
33 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
119 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
122 |
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 |
161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0311 |