National Provider Identifier [NPI]: |
1295702512 |
Last Name Of The Provider |
MCCOY |
First Name Of The Provider |
HARRY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2955 MARKET ST |
Street Address 2 Of The Provider |
STE. 5 |
City Of The Provider |
CHRISTIANSBURG |
Zip Code Of The Provider |
240736575 |
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 |
163 |
Number Of Services |
171944 |
Number Of Medicare Beneficiaries |
918 |
Total Submitted Charge Amount |
11939223.45 |
Total Medicare Allowed Amount |
3653556.44 |
Total Medicare Payment Amount |
2848535.07 |
Total Medicare Standardized Payment Amount |
2842770.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
85 |
Number Of Drug Services |
156858 |
Number Of Medicare Beneficiaries With Drug Services |
363 |
Total Drug Submitted ChargeAmount |
10005229.45 |
Total Drug Medicare AllowedAmount |
3082865.79 |
Total Drug Medicare PaymentAmount |
2402721.45 |
Total Drug Medicare Standardized Payment Amount |
2402721.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
15086 |
Number Of Medicare Beneficiaries With Medical Services |
918 |
Total Medical Submitted Charge Amount |
1933994 |
Total Medical Medicare Allowed Amount |
570690.65 |
Total Medical Medicare Payment Amount |
445813.62 |
Total Medical Medicare Standardized Payment Amount |
440048.91 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
594 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
885 |
Number Of Black or African American Beneficiaries |
15 |
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 |
818 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5847 |