Medicare Facts for Dr. David R. Spigel, MD


National Provider Identifier [NPI]: 1427074210
Last Name Of The Provider SPIGEL
First Name Of The Provider DAVID
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 250 25TH AVE N
Street Address 2 Of The Provider STE 100
City Of The Provider NASHVILLE
Zip Code Of The Provider 372031632
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Medical Oncology
Medicare Participation Indicator Y
Number Of HCPCS 132
Number Of Services 83978
Number Of Medicare Beneficiaries 359
Total Submitted Charge Amount 1886460
Total Medicare Allowed Amount 1134661.42
Total Medicare Payment Amount 861195.11
Total Medicare Standardized Payment Amount 874013.11
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 63
Number Of Drug Services 73383
Number Of Medicare Beneficiaries With Drug Services 145
Total Drug Submitted ChargeAmount 1154355
Total Drug Medicare AllowedAmount 881110.79
Total Drug Medicare PaymentAmount 660707.66
Total Drug Medicare Standardized Payment Amount 660707.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 69
Number Of Medical Services 10595
Number Of Medicare Beneficiaries With Medical Services 359
Total Medical Submitted Charge Amount 732105
Total Medical Medicare Allowed Amount 253550.63
Total Medical Medicare Payment Amount 200487.45
Total Medical Medicare Standardized Payment Amount 213305.45
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 50
Number Of Beneficiaries Age 65 to 74 190
Number Of Beneficiaries Age 75 to 84 94
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 185
Number Of Male Beneficiaries 174
Number Of Non Hispanic White Beneficiaries 315
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 311
Number Of Beneficiaries With Medicare Medicaid Entitlement 48
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 5
Percent Of With Cancer 70
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 34
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 20
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 2.0456

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