National Provider Identifier [NPI]: |
1568468882 |
Last Name Of The Provider |
ALGUIRE |
First Name Of The Provider |
KATHRYN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1440 E SHERMAN BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MUSKEGON |
Zip Code Of The Provider |
494441816 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
221024 |
Number Of Medicare Beneficiaries |
771 |
Total Submitted Charge Amount |
5195014.55 |
Total Medicare Allowed Amount |
3164137.16 |
Total Medicare Payment Amount |
2478541.13 |
Total Medicare Standardized Payment Amount |
2487412.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
209184 |
Number Of Medicare Beneficiaries With Drug Services |
289 |
Total Drug Submitted ChargeAmount |
4326535.25 |
Total Drug Medicare AllowedAmount |
2710205.34 |
Total Drug Medicare PaymentAmount |
2123096.08 |
Total Drug Medicare Standardized Payment Amount |
2123096.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
11840 |
Number Of Medicare Beneficiaries With Medical Services |
770 |
Total Medical Submitted Charge Amount |
868479.3 |
Total Medical Medicare Allowed Amount |
453931.82 |
Total Medical Medicare Payment Amount |
355445.05 |
Total Medical Medicare Standardized Payment Amount |
364316.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
673 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
595 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.8676 |