National Provider Identifier [NPI]: |
1992796437 |
Last Name Of The Provider |
NATHAN |
First Name Of The Provider |
NIRMALA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 MEDICAL CENTER BOULEVARD |
Street Address 2 Of The Provider |
STE 341 CROZER REGIONAL CANCER CENTER |
City Of The Provider |
UPLAND |
Zip Code Of The Provider |
190133902 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
177873 |
Number Of Medicare Beneficiaries |
445 |
Total Submitted Charge Amount |
2653406 |
Total Medicare Allowed Amount |
1485214.83 |
Total Medicare Payment Amount |
1162319.12 |
Total Medicare Standardized Payment Amount |
1145234.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
45 |
Number Of Drug Services |
173333 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
2162657 |
Total Drug Medicare AllowedAmount |
1276270.18 |
Total Drug Medicare PaymentAmount |
1000354.29 |
Total Drug Medicare Standardized Payment Amount |
1000354.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
4540 |
Number Of Medicare Beneficiaries With Medical Services |
445 |
Total Medical Submitted Charge Amount |
490749 |
Total Medical Medicare Allowed Amount |
208944.65 |
Total Medical Medicare Payment Amount |
161964.83 |
Total Medical Medicare Standardized Payment Amount |
144880.15 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
304 |
Number Of Black or African American Beneficiaries |
118 |
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 |
324 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1463 |