National Provider Identifier [NPI]: |
1346246139 |
Last Name Of The Provider |
SKEEL |
First Name Of The Provider |
ROLAND |
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 |
3120 GLENDALE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TOLEDO |
Zip Code Of The Provider |
436145811 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
10653.2 |
Number Of Medicare Beneficiaries |
208 |
Total Submitted Charge Amount |
1010813.62 |
Total Medicare Allowed Amount |
421001.78 |
Total Medicare Payment Amount |
328182.11 |
Total Medicare Standardized Payment Amount |
328657.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
42 |
Number Of Drug Services |
9804.2 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
855805.62 |
Total Drug Medicare AllowedAmount |
364621.62 |
Total Drug Medicare PaymentAmount |
285473.24 |
Total Drug Medicare Standardized Payment Amount |
285473.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
849 |
Number Of Medicare Beneficiaries With Medical Services |
208 |
Total Medical Submitted Charge Amount |
155008 |
Total Medical Medicare Allowed Amount |
56380.16 |
Total Medical Medicare Payment Amount |
42708.87 |
Total Medical Medicare Standardized Payment Amount |
43183.92 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
113 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
161 |
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 |
149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
32 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.372 |