National Provider Identifier [NPI]: |
1407894413 |
Last Name Of The Provider |
HARTH |
First Name Of The Provider |
CHERYL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1441 N BECKLEY AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752031201 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
27861 |
Number Of Medicare Beneficiaries |
309 |
Total Submitted Charge Amount |
1580415 |
Total Medicare Allowed Amount |
496591.42 |
Total Medicare Payment Amount |
385768.88 |
Total Medicare Standardized Payment Amount |
385419.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
24812 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
1187439 |
Total Drug Medicare AllowedAmount |
369298.47 |
Total Drug Medicare PaymentAmount |
289522.32 |
Total Drug Medicare Standardized Payment Amount |
289522.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
3049 |
Number Of Medicare Beneficiaries With Medical Services |
309 |
Total Medical Submitted Charge Amount |
392976 |
Total Medical Medicare Allowed Amount |
127292.95 |
Total Medical Medicare Payment Amount |
96246.56 |
Total Medical Medicare Standardized Payment Amount |
95896.99 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
105 |
Number Of Black or African American Beneficiaries |
183 |
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 |
253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
63 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.741 |