National Provider Identifier [NPI]: |
1104821123 |
Last Name Of The Provider |
NEWCOMB |
First Name Of The Provider |
MARTIN |
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 |
1860 CHADWICK DR |
Street Address 2 Of The Provider |
STE 301 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392043467 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
141630 |
Number Of Medicare Beneficiaries |
510 |
Total Submitted Charge Amount |
6775152 |
Total Medicare Allowed Amount |
2989210.41 |
Total Medicare Payment Amount |
2311298.13 |
Total Medicare Standardized Payment Amount |
2335129.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
45 |
Number Of Drug Services |
132838 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
5816833 |
Total Drug Medicare AllowedAmount |
2650760.17 |
Total Drug Medicare PaymentAmount |
2052043.51 |
Total Drug Medicare Standardized Payment Amount |
2052043.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
8792 |
Number Of Medicare Beneficiaries With Medical Services |
510 |
Total Medical Submitted Charge Amount |
958319 |
Total Medical Medicare Allowed Amount |
338450.24 |
Total Medical Medicare Payment Amount |
259254.62 |
Total Medical Medicare Standardized Payment Amount |
283086.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
308 |
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 |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
57 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8156 |