National Provider Identifier [NPI]: |
1952362394 |
Last Name Of The Provider |
WESTBERG |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1221 PLEASANT ST |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
DES MOINES |
Zip Code Of The Provider |
50309 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
53946 |
Number Of Medicare Beneficiaries |
1051 |
Total Submitted Charge Amount |
2452919.5 |
Total Medicare Allowed Amount |
1345615.91 |
Total Medicare Payment Amount |
1045110.43 |
Total Medicare Standardized Payment Amount |
1062506.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
53 |
Number Of Drug Services |
45683 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
1691818 |
Total Drug Medicare AllowedAmount |
953072.39 |
Total Drug Medicare PaymentAmount |
747071.09 |
Total Drug Medicare Standardized Payment Amount |
747071.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
8263 |
Number Of Medicare Beneficiaries With Medical Services |
1051 |
Total Medical Submitted Charge Amount |
761101.5 |
Total Medical Medicare Allowed Amount |
392543.52 |
Total Medical Medicare Payment Amount |
298039.34 |
Total Medical Medicare Standardized Payment Amount |
315435.17 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
380 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
688 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
1013 |
Number Of Black or African American Beneficiaries |
12 |
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 |
950 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4431 |