National Provider Identifier [NPI]: |
1851320691 |
Last Name Of The Provider |
SOMER |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 N HUMPHREYS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381202146 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
32033 |
Number Of Medicare Beneficiaries |
1141 |
Total Submitted Charge Amount |
3639945.3 |
Total Medicare Allowed Amount |
757501.18 |
Total Medicare Payment Amount |
586927.08 |
Total Medicare Standardized Payment Amount |
614799.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
45 |
Number Of Drug Services |
15109 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
1017677 |
Total Drug Medicare AllowedAmount |
252784.22 |
Total Drug Medicare PaymentAmount |
176563.88 |
Total Drug Medicare Standardized Payment Amount |
176563.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
16924 |
Number Of Medicare Beneficiaries With Medical Services |
1136 |
Total Medical Submitted Charge Amount |
2622268.3 |
Total Medical Medicare Allowed Amount |
504716.96 |
Total Medical Medicare Payment Amount |
410363.2 |
Total Medical Medicare Standardized Payment Amount |
438235.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
515 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
714 |
Number Of Male Beneficiaries |
427 |
Number Of Non Hispanic White Beneficiaries |
785 |
Number Of Black or African American Beneficiaries |
333 |
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 |
921 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
220 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9592 |