National Provider Identifier [NPI]: |
1730116088 |
Last Name Of The Provider |
ARMSTRONG |
First Name Of The Provider |
KARIN |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6025 LAKE RD |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
WOODBURY |
Zip Code Of The Provider |
551251709 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
20604 |
Number Of Medicare Beneficiaries |
235 |
Total Submitted Charge Amount |
1438360 |
Total Medicare Allowed Amount |
412901.51 |
Total Medicare Payment Amount |
298662.51 |
Total Medicare Standardized Payment Amount |
300805.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
17873 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
1062962 |
Total Drug Medicare AllowedAmount |
315007.06 |
Total Drug Medicare PaymentAmount |
224862.94 |
Total Drug Medicare Standardized Payment Amount |
224862.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2731 |
Number Of Medicare Beneficiaries With Medical Services |
235 |
Total Medical Submitted Charge Amount |
375398 |
Total Medical Medicare Allowed Amount |
97894.45 |
Total Medical Medicare Payment Amount |
73799.57 |
Total Medical Medicare Standardized Payment Amount |
75942.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
51 |
Number Of Non Hispanic White Beneficiaries |
215 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7799 |