National Provider Identifier [NPI]: |
1205878402 |
Last Name Of The Provider |
GIAN |
First Name Of The Provider |
VICTOR |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1840 MEDICAL CENTER PKWY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MURFREESBORO |
Zip Code Of The Provider |
371292564 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
161 |
Number Of Services |
255902 |
Number Of Medicare Beneficiaries |
895 |
Total Submitted Charge Amount |
4260099 |
Total Medicare Allowed Amount |
2703169.02 |
Total Medicare Payment Amount |
2111761.82 |
Total Medicare Standardized Payment Amount |
2125564.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
84 |
Number Of Drug Services |
228621 |
Number Of Medicare Beneficiaries With Drug Services |
383 |
Total Drug Submitted ChargeAmount |
2865033 |
Total Drug Medicare AllowedAmount |
2183131.15 |
Total Drug Medicare PaymentAmount |
1698782.35 |
Total Drug Medicare Standardized Payment Amount |
1698782.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
27281 |
Number Of Medicare Beneficiaries With Medical Services |
894 |
Total Medical Submitted Charge Amount |
1395066 |
Total Medical Medicare Allowed Amount |
520037.87 |
Total Medical Medicare Payment Amount |
412979.47 |
Total Medical Medicare Standardized Payment Amount |
426782.43 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
560 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
791 |
Number Of Black or African American Beneficiaries |
80 |
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 |
768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8314 |