National Provider Identifier [NPI]: |
1114016284 |
Last Name Of The Provider |
DAVIS |
First Name Of The Provider |
ALLAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
231 N SHIPPEN ST |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176022770 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
25652 |
Number Of Medicare Beneficiaries |
298 |
Total Submitted Charge Amount |
1196643.5 |
Total Medicare Allowed Amount |
814179.86 |
Total Medicare Payment Amount |
637452.8 |
Total Medicare Standardized Payment Amount |
637612.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
31 |
Number Of Drug Services |
21020 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
889857.5 |
Total Drug Medicare AllowedAmount |
609048.99 |
Total Drug Medicare PaymentAmount |
477168.5 |
Total Drug Medicare Standardized Payment Amount |
477168.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
4632 |
Number Of Medicare Beneficiaries With Medical Services |
298 |
Total Medical Submitted Charge Amount |
306786 |
Total Medical Medicare Allowed Amount |
205130.87 |
Total Medical Medicare Payment Amount |
160284.3 |
Total Medical Medicare Standardized Payment Amount |
160444.15 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
141 |
Number Of Non Hispanic White Beneficiaries |
277 |
Number Of Black or African American Beneficiaries |
|
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 |
279 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
32 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0857 |