National Provider Identifier [NPI]: |
1699741629 |
Last Name Of The Provider |
TEMELES |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2013 JEFFERSON ST SW |
Street Address 2 Of The Provider |
SECOND FLOOR |
City Of The Provider |
ROANOKE |
Zip Code Of The Provider |
240142419 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
29270 |
Number Of Medicare Beneficiaries |
376 |
Total Submitted Charge Amount |
1987878.78 |
Total Medicare Allowed Amount |
532199.51 |
Total Medicare Payment Amount |
415395.83 |
Total Medicare Standardized Payment Amount |
413875.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
62 |
Number Of Drug Services |
24794 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
1530532.78 |
Total Drug Medicare AllowedAmount |
397380.33 |
Total Drug Medicare PaymentAmount |
310333.65 |
Total Drug Medicare Standardized Payment Amount |
310333.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
4476 |
Number Of Medicare Beneficiaries With Medical Services |
376 |
Total Medical Submitted Charge Amount |
457346 |
Total Medical Medicare Allowed Amount |
134819.18 |
Total Medical Medicare Payment Amount |
105062.18 |
Total Medical Medicare Standardized Payment Amount |
103541.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
230 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
334 |
Number Of Black or African American Beneficiaries |
|
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 |
333 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.7937 |