National Provider Identifier [NPI]: |
1336196427 |
Last Name Of The Provider |
WELKER |
First Name Of The Provider |
DEBRA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
411 LAUREL ST |
Street Address 2 Of The Provider |
SUITE 300 A |
City Of The Provider |
DES MOINES |
Zip Code Of The Provider |
50314 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
34219 |
Number Of Medicare Beneficiaries |
376 |
Total Submitted Charge Amount |
705962 |
Total Medicare Allowed Amount |
429131.8 |
Total Medicare Payment Amount |
285528.93 |
Total Medicare Standardized Payment Amount |
291732.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
34 |
Number Of Drug Services |
31175 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
508801 |
Total Drug Medicare AllowedAmount |
332429.45 |
Total Drug Medicare PaymentAmount |
216536.29 |
Total Drug Medicare Standardized Payment Amount |
216536.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3044 |
Number Of Medicare Beneficiaries With Medical Services |
376 |
Total Medical Submitted Charge Amount |
197161 |
Total Medical Medicare Allowed Amount |
96702.35 |
Total Medical Medicare Payment Amount |
68992.64 |
Total Medical Medicare Standardized Payment Amount |
75196.5 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
365 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
343 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.715 |