National Provider Identifier [NPI]: |
1588637250 |
Last Name Of The Provider |
BONDLY |
First Name Of The Provider |
CARA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2728 10TH AVE S STE 200 |
Street Address 2 Of The Provider |
BRUNO CANCER CENTER |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051202 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
174873 |
Number Of Medicare Beneficiaries |
538 |
Total Submitted Charge Amount |
8062475 |
Total Medicare Allowed Amount |
2576561.03 |
Total Medicare Payment Amount |
2010520.57 |
Total Medicare Standardized Payment Amount |
2025181.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
168459 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
7086693 |
Total Drug Medicare AllowedAmount |
2185897.11 |
Total Drug Medicare PaymentAmount |
1712534.57 |
Total Drug Medicare Standardized Payment Amount |
1712534.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
6414 |
Number Of Medicare Beneficiaries With Medical Services |
538 |
Total Medical Submitted Charge Amount |
975782 |
Total Medical Medicare Allowed Amount |
390663.92 |
Total Medical Medicare Payment Amount |
297986 |
Total Medical Medicare Standardized Payment Amount |
312647.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
471 |
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 |
504 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.545 |