National Provider Identifier [NPI]: |
1679531834 |
Last Name Of The Provider |
NAUMAN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 QUINCY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROCKTON |
Zip Code Of The Provider |
023022864 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
71521 |
Number Of Medicare Beneficiaries |
531 |
Total Submitted Charge Amount |
2574066.57 |
Total Medicare Allowed Amount |
937735.91 |
Total Medicare Payment Amount |
731737.57 |
Total Medicare Standardized Payment Amount |
720300.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
44 |
Number Of Drug Services |
66016 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
1857258.57 |
Total Drug Medicare AllowedAmount |
687552.21 |
Total Drug Medicare PaymentAmount |
538281.89 |
Total Drug Medicare Standardized Payment Amount |
538281.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
5505 |
Number Of Medicare Beneficiaries With Medical Services |
531 |
Total Medical Submitted Charge Amount |
716808 |
Total Medical Medicare Allowed Amount |
250183.7 |
Total Medical Medicare Payment Amount |
193455.68 |
Total Medical Medicare Standardized Payment Amount |
182019.1 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
461 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7764 |