National Provider Identifier [NPI]: |
1124054655 |
Last Name Of The Provider |
SPENCER |
First Name Of The Provider |
VERNEEDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2925 DEBARR RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ANCHORAGE |
Zip Code Of The Provider |
995082983 |
State Code Of The Provider |
AK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
51052 |
Number Of Medicare Beneficiaries |
327 |
Total Submitted Charge Amount |
1961243.85 |
Total Medicare Allowed Amount |
940366.71 |
Total Medicare Payment Amount |
732600.48 |
Total Medicare Standardized Payment Amount |
707849.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
48982 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
1242151.85 |
Total Drug Medicare AllowedAmount |
742536.46 |
Total Drug Medicare PaymentAmount |
580870.98 |
Total Drug Medicare Standardized Payment Amount |
580870.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2070 |
Number Of Medicare Beneficiaries With Medical Services |
325 |
Total Medical Submitted Charge Amount |
719092 |
Total Medical Medicare Allowed Amount |
197830.25 |
Total Medical Medicare Payment Amount |
151729.5 |
Total Medical Medicare Standardized Payment Amount |
126978.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
116 |
Number Of Non Hispanic White Beneficiaries |
262 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
22 |
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 |
253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6818 |