National Provider Identifier [NPI]: |
1801829114 |
Last Name Of The Provider |
YARDLEY |
First Name Of The Provider |
DENISE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
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 |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
61989 |
Number Of Medicare Beneficiaries |
394 |
Total Submitted Charge Amount |
1273262 |
Total Medicare Allowed Amount |
784760.37 |
Total Medicare Payment Amount |
618447.98 |
Total Medicare Standardized Payment Amount |
622655.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
55 |
Number Of Drug Services |
50494 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
787083 |
Total Drug Medicare AllowedAmount |
612552.2 |
Total Drug Medicare PaymentAmount |
479570.62 |
Total Drug Medicare Standardized Payment Amount |
479570.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
11495 |
Number Of Medicare Beneficiaries With Medical Services |
394 |
Total Medical Submitted Charge Amount |
486179 |
Total Medical Medicare Allowed Amount |
172208.17 |
Total Medical Medicare Payment Amount |
138877.36 |
Total Medical Medicare Standardized Payment Amount |
143085.37 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
345 |
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 |
354 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
65 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.5877 |