National Provider Identifier [NPI]: |
1932189396 |
Last Name Of The Provider |
SILVERBERG |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8303 DODGE ST |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681144108 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
79051 |
Number Of Medicare Beneficiaries |
519 |
Total Submitted Charge Amount |
3675506 |
Total Medicare Allowed Amount |
1790560.87 |
Total Medicare Payment Amount |
1356892.59 |
Total Medicare Standardized Payment Amount |
1364438.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
75630 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
3163427 |
Total Drug Medicare AllowedAmount |
1568879.95 |
Total Drug Medicare PaymentAmount |
1190745.33 |
Total Drug Medicare Standardized Payment Amount |
1190745.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3421 |
Number Of Medicare Beneficiaries With Medical Services |
518 |
Total Medical Submitted Charge Amount |
512079 |
Total Medical Medicare Allowed Amount |
221680.92 |
Total Medical Medicare Payment Amount |
166147.26 |
Total Medical Medicare Standardized Payment Amount |
173692.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
488 |
Number Of Black or African American Beneficiaries |
12 |
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 |
492 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
60 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8655 |