National Provider Identifier [NPI]: |
1013913292 |
Last Name Of The Provider |
HALL |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4701 OGLETOWN STANTON RD |
Street Address 2 Of The Provider |
STE 4200 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197132055 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
100350 |
Number Of Medicare Beneficiaries |
560 |
Total Submitted Charge Amount |
1847963.14 |
Total Medicare Allowed Amount |
859720.14 |
Total Medicare Payment Amount |
658868.58 |
Total Medicare Standardized Payment Amount |
649176.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
97634 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
1179661.95 |
Total Drug Medicare AllowedAmount |
652734.82 |
Total Drug Medicare PaymentAmount |
502960.35 |
Total Drug Medicare Standardized Payment Amount |
502960.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2716 |
Number Of Medicare Beneficiaries With Medical Services |
560 |
Total Medical Submitted Charge Amount |
668301.19 |
Total Medical Medicare Allowed Amount |
206985.32 |
Total Medical Medicare Payment Amount |
155908.23 |
Total Medical Medicare Standardized Payment Amount |
146215.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
431 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7852 |