National Provider Identifier [NPI]: |
1760475073 |
Last Name Of The Provider |
NEWMAN |
First Name Of The Provider |
CORLISS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 W 5TH AVE |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992042966 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
227 |
Number Of Services |
124700 |
Number Of Medicare Beneficiaries |
485 |
Total Submitted Charge Amount |
6129302.63 |
Total Medicare Allowed Amount |
2884831.26 |
Total Medicare Payment Amount |
2241953.11 |
Total Medicare Standardized Payment Amount |
2243007.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
89 |
Number Of Drug Services |
118309 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
5059260.75 |
Total Drug Medicare AllowedAmount |
2488369.02 |
Total Drug Medicare PaymentAmount |
1936106.39 |
Total Drug Medicare Standardized Payment Amount |
1936106.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
6391 |
Number Of Medicare Beneficiaries With Medical Services |
485 |
Total Medical Submitted Charge Amount |
1070041.88 |
Total Medical Medicare Allowed Amount |
396462.24 |
Total Medical Medicare Payment Amount |
305846.72 |
Total Medical Medicare Standardized Payment Amount |
306901.16 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
269 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
458 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8479 |