National Provider Identifier [NPI]: |
1902840663 |
Last Name Of The Provider |
SCHACHT |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2232 WILBORN AVE, SUITE D |
Street Address 2 Of The Provider |
HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA, PC |
City Of The Provider |
SOUTH BOSTON |
Zip Code Of The Provider |
245921662 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
2802 |
Number Of Medicare Beneficiaries |
480 |
Total Submitted Charge Amount |
175371 |
Total Medicare Allowed Amount |
129194.21 |
Total Medicare Payment Amount |
94531.72 |
Total Medicare Standardized Payment Amount |
98051 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
3900 |
Total Drug Medicare AllowedAmount |
3548.43 |
Total Drug Medicare PaymentAmount |
2811.39 |
Total Drug Medicare Standardized Payment Amount |
2811.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2777 |
Number Of Medicare Beneficiaries With Medical Services |
480 |
Total Medical Submitted Charge Amount |
171471 |
Total Medical Medicare Allowed Amount |
125645.78 |
Total Medical Medicare Payment Amount |
91720.33 |
Total Medical Medicare Standardized Payment Amount |
95239.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
305 |
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 |
336 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
144 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8611 |