National Provider Identifier [NPI]: |
1639119589 |
Last Name Of The Provider |
BAKER |
First Name Of The Provider |
JUSTIN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1227 N STATE ST STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392022002 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
141969 |
Number Of Medicare Beneficiaries |
1092 |
Total Submitted Charge Amount |
6158763 |
Total Medicare Allowed Amount |
2466234.8 |
Total Medicare Payment Amount |
1881318.23 |
Total Medicare Standardized Payment Amount |
1902362.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
62 |
Number Of Drug Services |
129145 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
4834670 |
Total Drug Medicare AllowedAmount |
1999302.67 |
Total Drug Medicare PaymentAmount |
1519557.42 |
Total Drug Medicare Standardized Payment Amount |
1519557.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
12824 |
Number Of Medicare Beneficiaries With Medical Services |
1092 |
Total Medical Submitted Charge Amount |
1324093 |
Total Medical Medicare Allowed Amount |
466932.13 |
Total Medical Medicare Payment Amount |
361760.81 |
Total Medical Medicare Standardized Payment Amount |
382804.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
163 |
Number Of Beneficiaries Age 65 to 74 |
469 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
672 |
Number Of Male Beneficiaries |
420 |
Number Of Non Hispanic White Beneficiaries |
807 |
Number Of Black or African American Beneficiaries |
272 |
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 |
867 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
225 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.744 |