National Provider Identifier [NPI]: |
1558361154 |
Last Name Of The Provider |
VOGELZANG |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3730 S EASTERN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891693321 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
212 |
Number Of Services |
189362 |
Number Of Medicare Beneficiaries |
782 |
Total Submitted Charge Amount |
13946532 |
Total Medicare Allowed Amount |
3930713.02 |
Total Medicare Payment Amount |
2978504.98 |
Total Medicare Standardized Payment Amount |
2987244.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
85 |
Number Of Drug Services |
175091 |
Number Of Medicare Beneficiaries With Drug Services |
429 |
Total Drug Submitted ChargeAmount |
10815852 |
Total Drug Medicare AllowedAmount |
2941267.43 |
Total Drug Medicare PaymentAmount |
2217300.59 |
Total Drug Medicare Standardized Payment Amount |
2217300.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
14271 |
Number Of Medicare Beneficiaries With Medical Services |
780 |
Total Medical Submitted Charge Amount |
3130680 |
Total Medical Medicare Allowed Amount |
989445.59 |
Total Medical Medicare Payment Amount |
761204.39 |
Total Medical Medicare Standardized Payment Amount |
769943.68 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
561 |
Number Of Non Hispanic White Beneficiaries |
625 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
717 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
70 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0056 |