National Provider Identifier [NPI]: |
1023027596 |
Last Name Of The Provider |
BJORLING |
First Name Of The Provider |
VINCENT |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3911 AVENUE B |
Street Address 2 Of The Provider |
SUITE 1110 |
City Of The Provider |
SCOTTSBLUFF |
Zip Code Of The Provider |
693614617 |
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 |
145 |
Number Of Services |
65351 |
Number Of Medicare Beneficiaries |
2233 |
Total Submitted Charge Amount |
3141268.4 |
Total Medicare Allowed Amount |
1628858.98 |
Total Medicare Payment Amount |
1263237.61 |
Total Medicare Standardized Payment Amount |
1276716.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
68 |
Number Of Drug Services |
54677 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
2342930.4 |
Total Drug Medicare AllowedAmount |
1237270.12 |
Total Drug Medicare PaymentAmount |
969742.12 |
Total Drug Medicare Standardized Payment Amount |
969742.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
10674 |
Number Of Medicare Beneficiaries With Medical Services |
2233 |
Total Medical Submitted Charge Amount |
798338 |
Total Medical Medicare Allowed Amount |
391588.86 |
Total Medical Medicare Payment Amount |
293495.49 |
Total Medical Medicare Standardized Payment Amount |
306974.7 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
293 |
Number Of Beneficiaries Age 65 to 74 |
768 |
Number Of Beneficiaries Age 75 to 84 |
731 |
Number Of Beneficiaries Age Greater 84 |
441 |
Number Of Female Beneficiaries |
1312 |
Number Of Male Beneficiaries |
921 |
Number Of Non Hispanic White Beneficiaries |
2014 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
157 |
Number Of American Indian Alaska Native Beneficiaries |
34 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1722 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
511 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.451 |