National Provider Identifier [NPI]: |
1689837601 |
Last Name Of The Provider |
EWING |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11209 N TATUM BLVD |
Street Address 2 Of The Provider |
SUITE 260 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850286025 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
74128 |
Number Of Medicare Beneficiaries |
438 |
Total Submitted Charge Amount |
2668755 |
Total Medicare Allowed Amount |
1347682.18 |
Total Medicare Payment Amount |
1053032.52 |
Total Medicare Standardized Payment Amount |
1050591.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
70 |
Number Of Drug Services |
70907 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
2292573 |
Total Drug Medicare AllowedAmount |
1138601.32 |
Total Drug Medicare PaymentAmount |
889829.28 |
Total Drug Medicare Standardized Payment Amount |
889829.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3221 |
Number Of Medicare Beneficiaries With Medical Services |
436 |
Total Medical Submitted Charge Amount |
376182 |
Total Medical Medicare Allowed Amount |
209080.86 |
Total Medical Medicare Payment Amount |
163203.24 |
Total Medical Medicare Standardized Payment Amount |
160762.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
219 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
409 |
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 |
419 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9465 |