National Provider Identifier [NPI]: |
1629146154 |
Last Name Of The Provider |
ANDERSON |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3577 W 13 MILE RD |
Street Address 2 Of The Provider |
STE 404 |
City Of The Provider |
ROYAL OAK |
Zip Code Of The Provider |
480736710 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
48074 |
Number Of Medicare Beneficiaries |
703 |
Total Submitted Charge Amount |
1030700.2 |
Total Medicare Allowed Amount |
766683.13 |
Total Medicare Payment Amount |
600389.97 |
Total Medicare Standardized Payment Amount |
594833.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
44658 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
692018.15 |
Total Drug Medicare AllowedAmount |
544573.54 |
Total Drug Medicare PaymentAmount |
425895.44 |
Total Drug Medicare Standardized Payment Amount |
425895.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3416 |
Number Of Medicare Beneficiaries With Medical Services |
702 |
Total Medical Submitted Charge Amount |
338682.05 |
Total Medical Medicare Allowed Amount |
222109.59 |
Total Medical Medicare Payment Amount |
174494.53 |
Total Medical Medicare Standardized Payment Amount |
168938.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
411 |
Number Of Male Beneficiaries |
292 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
132 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
576 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.5698 |