National Provider Identifier [NPI]: |
1689654618 |
Last Name Of The Provider |
LANGDON |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8303 DODGE ST |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681144108 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
155317 |
Number Of Medicare Beneficiaries |
1160 |
Total Submitted Charge Amount |
5593311 |
Total Medicare Allowed Amount |
2587339 |
Total Medicare Payment Amount |
2008521.42 |
Total Medicare Standardized Payment Amount |
2031755.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
88 |
Number Of Drug Services |
145506 |
Number Of Medicare Beneficiaries With Drug Services |
326 |
Total Drug Submitted ChargeAmount |
4579791 |
Total Drug Medicare AllowedAmount |
2156203.25 |
Total Drug Medicare PaymentAmount |
1681544.98 |
Total Drug Medicare Standardized Payment Amount |
1681544.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
9811 |
Number Of Medicare Beneficiaries With Medical Services |
1160 |
Total Medical Submitted Charge Amount |
1013520 |
Total Medical Medicare Allowed Amount |
431135.75 |
Total Medical Medicare Payment Amount |
326976.44 |
Total Medical Medicare Standardized Payment Amount |
350210.39 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
540 |
Number Of Beneficiaries Age 75 to 84 |
411 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
758 |
Number Of Male Beneficiaries |
402 |
Number Of Non Hispanic White Beneficiaries |
1099 |
Number Of Black or African American Beneficiaries |
21 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1087 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7473 |