National Provider Identifier [NPI]: |
1366468803 |
Last Name Of The Provider |
KRUSPE |
First Name Of The Provider |
RACHEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 GOVERNORS DRIVE |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358015176 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
51771 |
Number Of Medicare Beneficiaries |
605 |
Total Submitted Charge Amount |
1237385 |
Total Medicare Allowed Amount |
869203.85 |
Total Medicare Payment Amount |
673273.12 |
Total Medicare Standardized Payment Amount |
688008.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
44847 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
867505 |
Total Drug Medicare AllowedAmount |
591756.46 |
Total Drug Medicare PaymentAmount |
461825.41 |
Total Drug Medicare Standardized Payment Amount |
461825.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
6924 |
Number Of Medicare Beneficiaries With Medical Services |
605 |
Total Medical Submitted Charge Amount |
369880 |
Total Medical Medicare Allowed Amount |
277447.39 |
Total Medical Medicare Payment Amount |
211447.71 |
Total Medical Medicare Standardized Payment Amount |
226183.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
230 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
348 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
500 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.083 |