National Provider Identifier [NPI]: |
1275538985 |
Last Name Of The Provider |
DRODER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
721 CLINIC DR |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
TYLER |
Zip Code Of The Provider |
757012043 |
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 |
147 |
Number Of Services |
125404 |
Number Of Medicare Beneficiaries |
985 |
Total Submitted Charge Amount |
5020177 |
Total Medicare Allowed Amount |
2237467.32 |
Total Medicare Payment Amount |
1738462.95 |
Total Medicare Standardized Payment Amount |
1762555.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
79 |
Number Of Drug Services |
110449 |
Number Of Medicare Beneficiaries With Drug Services |
386 |
Total Drug Submitted ChargeAmount |
3888205 |
Total Drug Medicare AllowedAmount |
1681403.11 |
Total Drug Medicare PaymentAmount |
1304505.63 |
Total Drug Medicare Standardized Payment Amount |
1304505.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
14955 |
Number Of Medicare Beneficiaries With Medical Services |
985 |
Total Medical Submitted Charge Amount |
1131972 |
Total Medical Medicare Allowed Amount |
556064.21 |
Total Medical Medicare Payment Amount |
433957.32 |
Total Medical Medicare Standardized Payment Amount |
458049.95 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
362 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
580 |
Number Of Male Beneficiaries |
405 |
Number Of Non Hispanic White Beneficiaries |
860 |
Number Of Black or African American Beneficiaries |
97 |
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 |
823 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8613 |