National Provider Identifier [NPI]: |
1922003763 |
Last Name Of The Provider |
CROSS |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5900 LAKE WRIGHT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235021871 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
177 |
Number Of Services |
130713 |
Number Of Medicare Beneficiaries |
810 |
Total Submitted Charge Amount |
6142492.27 |
Total Medicare Allowed Amount |
1849215.43 |
Total Medicare Payment Amount |
1436692.45 |
Total Medicare Standardized Payment Amount |
1430943.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
83 |
Number Of Drug Services |
118756 |
Number Of Medicare Beneficiaries With Drug Services |
270 |
Total Drug Submitted ChargeAmount |
4828335.23 |
Total Drug Medicare AllowedAmount |
1474230.86 |
Total Drug Medicare PaymentAmount |
1139577.36 |
Total Drug Medicare Standardized Payment Amount |
1139577.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
11957 |
Number Of Medicare Beneficiaries With Medical Services |
810 |
Total Medical Submitted Charge Amount |
1314157.04 |
Total Medical Medicare Allowed Amount |
374984.57 |
Total Medical Medicare Payment Amount |
297115.09 |
Total Medical Medicare Standardized Payment Amount |
291365.66 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
466 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
538 |
Number Of Black or African American Beneficiaries |
229 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
692 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.13 |