National Provider Identifier [NPI]: |
1548259740 |
Last Name Of The Provider |
LAUGEN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12615 E MISSION AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SPOKANE VALLEY |
Zip Code Of The Provider |
992161047 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
26367 |
Number Of Medicare Beneficiaries |
334 |
Total Submitted Charge Amount |
1768116.05 |
Total Medicare Allowed Amount |
562248.42 |
Total Medicare Payment Amount |
433996.24 |
Total Medicare Standardized Payment Amount |
434087.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
50 |
Number Of Drug Services |
22768 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
1375446.05 |
Total Drug Medicare AllowedAmount |
421894.82 |
Total Drug Medicare PaymentAmount |
325844.5 |
Total Drug Medicare Standardized Payment Amount |
325844.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3599 |
Number Of Medicare Beneficiaries With Medical Services |
333 |
Total Medical Submitted Charge Amount |
392670 |
Total Medical Medicare Allowed Amount |
140353.6 |
Total Medical Medicare Payment Amount |
108151.74 |
Total Medical Medicare Standardized Payment Amount |
108243.42 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.804 |