National Provider Identifier [NPI]: |
1194751354 |
Last Name Of The Provider |
PEACOCK |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 20TH AVE N |
Street Address 2 Of The Provider |
STE 301 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372032131 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
69848 |
Number Of Medicare Beneficiaries |
427 |
Total Submitted Charge Amount |
1859150 |
Total Medicare Allowed Amount |
1259527.85 |
Total Medicare Payment Amount |
985211.41 |
Total Medicare Standardized Payment Amount |
990941.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
68 |
Number Of Drug Services |
61794 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
1335997 |
Total Drug Medicare AllowedAmount |
1058391.11 |
Total Drug Medicare PaymentAmount |
827983.44 |
Total Drug Medicare Standardized Payment Amount |
827983.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
8054 |
Number Of Medicare Beneficiaries With Medical Services |
427 |
Total Medical Submitted Charge Amount |
523153 |
Total Medical Medicare Allowed Amount |
201136.74 |
Total Medical Medicare Payment Amount |
157227.97 |
Total Medical Medicare Standardized Payment Amount |
162958.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
358 |
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 |
390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
65 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4649 |