National Provider Identifier [NPI]: |
1366521502 |
Last Name Of The Provider |
HUTCHINS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4004 PIONEER WOODS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685067548 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
150390 |
Number Of Medicare Beneficiaries |
608 |
Total Submitted Charge Amount |
6639311.31 |
Total Medicare Allowed Amount |
2531824.81 |
Total Medicare Payment Amount |
1982135.44 |
Total Medicare Standardized Payment Amount |
1999415.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
69 |
Number Of Drug Services |
138024 |
Number Of Medicare Beneficiaries With Drug Services |
208 |
Total Drug Submitted ChargeAmount |
5703316.01 |
Total Drug Medicare AllowedAmount |
2186819.48 |
Total Drug Medicare PaymentAmount |
1708410.88 |
Total Drug Medicare Standardized Payment Amount |
1708410.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
12366 |
Number Of Medicare Beneficiaries With Medical Services |
608 |
Total Medical Submitted Charge Amount |
935995.3 |
Total Medical Medicare Allowed Amount |
345005.33 |
Total Medical Medicare Payment Amount |
273724.56 |
Total Medical Medicare Standardized Payment Amount |
291004.6 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9019 |