National Provider Identifier [NPI]: |
1528230737 |
Last Name Of The Provider |
SWANSEN |
First Name Of The Provider |
NATALIE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2625 N CRAYCROFT RD |
Street Address 2 Of The Provider |
# 200 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857122254 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
12014 |
Number Of Medicare Beneficiaries |
154 |
Total Submitted Charge Amount |
711532 |
Total Medicare Allowed Amount |
195728.31 |
Total Medicare Payment Amount |
153258.39 |
Total Medicare Standardized Payment Amount |
153251.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
46 |
Number Of Drug Services |
11492 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
500685 |
Total Drug Medicare AllowedAmount |
128131.65 |
Total Drug Medicare PaymentAmount |
100457.86 |
Total Drug Medicare Standardized Payment Amount |
100457.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
522 |
Number Of Medicare Beneficiaries With Medical Services |
154 |
Total Medical Submitted Charge Amount |
210847 |
Total Medical Medicare Allowed Amount |
67596.66 |
Total Medical Medicare Payment Amount |
52800.53 |
Total Medical Medicare Standardized Payment Amount |
52793.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
86 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
128 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
139 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.6051 |