National Provider Identifier [NPI]: |
1851396618 |
Last Name Of The Provider |
HARDEN |
First Name Of The Provider |
ELIZABETH |
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 |
1051 LOFTIS BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
236063069 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
154 |
Number Of Services |
157230 |
Number Of Medicare Beneficiaries |
885 |
Total Submitted Charge Amount |
8588512.5 |
Total Medicare Allowed Amount |
2544744.32 |
Total Medicare Payment Amount |
1976958.87 |
Total Medicare Standardized Payment Amount |
1969887.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
81 |
Number Of Drug Services |
144569 |
Number Of Medicare Beneficiaries With Drug Services |
343 |
Total Drug Submitted ChargeAmount |
7112699.5 |
Total Drug Medicare AllowedAmount |
2124866.59 |
Total Drug Medicare PaymentAmount |
1644404.09 |
Total Drug Medicare Standardized Payment Amount |
1644404.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
12661 |
Number Of Medicare Beneficiaries With Medical Services |
885 |
Total Medical Submitted Charge Amount |
1475813 |
Total Medical Medicare Allowed Amount |
419877.73 |
Total Medical Medicare Payment Amount |
332554.78 |
Total Medical Medicare Standardized Payment Amount |
325483.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
419 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
693 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
634 |
Number Of Black or African American Beneficiaries |
230 |
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 |
806 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
59 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4492 |