National Provider Identifier [NPI]: |
1376548057 |
Last Name Of The Provider |
KRUGER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 COLISEUM DR |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
HAMPTON |
Zip Code Of The Provider |
236665963 |
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 |
189 |
Number Of Services |
171239 |
Number Of Medicare Beneficiaries |
756 |
Total Submitted Charge Amount |
8638996.94 |
Total Medicare Allowed Amount |
2364997.22 |
Total Medicare Payment Amount |
1853788.24 |
Total Medicare Standardized Payment Amount |
1840268.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
89 |
Number Of Drug Services |
155554 |
Number Of Medicare Beneficiaries With Drug Services |
361 |
Total Drug Submitted ChargeAmount |
6732221.94 |
Total Drug Medicare AllowedAmount |
1802860.34 |
Total Drug Medicare PaymentAmount |
1407981.87 |
Total Drug Medicare Standardized Payment Amount |
1407981.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
15685 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
1906775 |
Total Medical Medicare Allowed Amount |
562136.88 |
Total Medical Medicare Payment Amount |
445806.37 |
Total Medical Medicare Standardized Payment Amount |
432286.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
434 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
409 |
Number Of Black or African American Beneficiaries |
327 |
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 |
647 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9257 |