National Provider Identifier [NPI]: |
1518905678 |
Last Name Of The Provider |
AKS |
First Name Of The Provider |
CAROLYN |
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 |
1957 ANTILLEY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ABILENE |
Zip Code Of The Provider |
796065208 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
184859 |
Number Of Medicare Beneficiaries |
509 |
Total Submitted Charge Amount |
6745910 |
Total Medicare Allowed Amount |
1885405.76 |
Total Medicare Payment Amount |
1479951.49 |
Total Medicare Standardized Payment Amount |
1500943.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
68 |
Number Of Drug Services |
170855 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
4734125 |
Total Drug Medicare AllowedAmount |
1300982.58 |
Total Drug Medicare PaymentAmount |
1018895.42 |
Total Drug Medicare Standardized Payment Amount |
1018895.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
14004 |
Number Of Medicare Beneficiaries With Medical Services |
509 |
Total Medical Submitted Charge Amount |
2011785 |
Total Medical Medicare Allowed Amount |
584423.18 |
Total Medical Medicare Payment Amount |
461056.07 |
Total Medical Medicare Standardized Payment Amount |
482047.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
438 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
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 |
119 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8551 |