National Provider Identifier [NPI]: |
1013098870 |
Last Name Of The Provider |
HAGGERTY |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9707 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503348 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
107056 |
Number Of Medicare Beneficiaries |
720 |
Total Submitted Charge Amount |
2037621.86 |
Total Medicare Allowed Amount |
1290819.23 |
Total Medicare Payment Amount |
1013653.22 |
Total Medicare Standardized Payment Amount |
985846.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
96531 |
Number Of Medicare Beneficiaries With Drug Services |
236 |
Total Drug Submitted ChargeAmount |
1423672.12 |
Total Drug Medicare AllowedAmount |
918145.65 |
Total Drug Medicare PaymentAmount |
718707.5 |
Total Drug Medicare Standardized Payment Amount |
718707.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
10525 |
Number Of Medicare Beneficiaries With Medical Services |
720 |
Total Medical Submitted Charge Amount |
613949.74 |
Total Medical Medicare Allowed Amount |
372673.58 |
Total Medical Medicare Payment Amount |
294945.72 |
Total Medical Medicare Standardized Payment Amount |
267139.34 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
259 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
413 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
592 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7507 |