National Provider Identifier [NPI]: |
1558308114 |
Last Name Of The Provider |
SAVIN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7777 FOREST LN |
Street Address 2 Of The Provider |
BUILDING D, SUITE 400 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752302505 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
95934 |
Number Of Medicare Beneficiaries |
500 |
Total Submitted Charge Amount |
4969841 |
Total Medicare Allowed Amount |
1469128.22 |
Total Medicare Payment Amount |
1128913.17 |
Total Medicare Standardized Payment Amount |
1133503.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
86133 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
3635489 |
Total Drug Medicare AllowedAmount |
1096189.87 |
Total Drug Medicare PaymentAmount |
834737.14 |
Total Drug Medicare Standardized Payment Amount |
834737.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
9801 |
Number Of Medicare Beneficiaries With Medical Services |
500 |
Total Medical Submitted Charge Amount |
1334352 |
Total Medical Medicare Allowed Amount |
372938.35 |
Total Medical Medicare Payment Amount |
294176.03 |
Total Medical Medicare Standardized Payment Amount |
298766.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
435 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6134 |