National Provider Identifier [NPI]: |
1013911668 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
TAMMY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1227 N STATE ST |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392022002 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
144 |
Number Of Services |
229335 |
Number Of Medicare Beneficiaries |
1152 |
Total Submitted Charge Amount |
10411922 |
Total Medicare Allowed Amount |
4345576.39 |
Total Medicare Payment Amount |
3358463.86 |
Total Medicare Standardized Payment Amount |
3383233.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
209032 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
8535577 |
Total Drug Medicare AllowedAmount |
3718527.26 |
Total Drug Medicare PaymentAmount |
2869893.41 |
Total Drug Medicare Standardized Payment Amount |
2869893.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
20303 |
Number Of Medicare Beneficiaries With Medical Services |
1152 |
Total Medical Submitted Charge Amount |
1876345 |
Total Medical Medicare Allowed Amount |
627049.13 |
Total Medical Medicare Payment Amount |
488570.45 |
Total Medical Medicare Standardized Payment Amount |
513339.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
558 |
Number Of Beneficiaries Age 75 to 84 |
348 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
806 |
Number Of Male Beneficiaries |
346 |
Number Of Non Hispanic White Beneficiaries |
905 |
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 |
943 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6204 |