National Provider Identifier [NPI]: |
1538149414 |
Last Name Of The Provider |
NORDQUIST |
First Name Of The Provider |
LUKE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7710 MERCY RD |
Street Address 2 Of The Provider |
SUITE 122 |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681242372 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
103247 |
Number Of Medicare Beneficiaries |
346 |
Total Submitted Charge Amount |
5683077.45 |
Total Medicare Allowed Amount |
2499647 |
Total Medicare Payment Amount |
1866821.31 |
Total Medicare Standardized Payment Amount |
1887649.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
30 |
Number Of Drug Services |
92540 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
4865111.45 |
Total Drug Medicare AllowedAmount |
2140335.38 |
Total Drug Medicare PaymentAmount |
1583200.28 |
Total Drug Medicare Standardized Payment Amount |
1583200.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
10707 |
Number Of Medicare Beneficiaries With Medical Services |
346 |
Total Medical Submitted Charge Amount |
817966 |
Total Medical Medicare Allowed Amount |
359311.62 |
Total Medical Medicare Payment Amount |
283621.03 |
Total Medical Medicare Standardized Payment Amount |
304449.21 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
25 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
333 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
335 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
75 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5387 |