National Provider Identifier [NPI]: |
1447235486 |
Last Name Of The Provider |
SLATER |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 WASHINGTON ST |
Street Address 2 Of The Provider |
EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220 |
City Of The Provider |
NORWICH |
Zip Code Of The Provider |
063602700 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
156 |
Number Of Services |
347178 |
Number Of Medicare Beneficiaries |
1020 |
Total Submitted Charge Amount |
6880509.27 |
Total Medicare Allowed Amount |
4240463.57 |
Total Medicare Payment Amount |
3192057.71 |
Total Medicare Standardized Payment Amount |
3165533.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
81 |
Number Of Drug Services |
325956 |
Number Of Medicare Beneficiaries With Drug Services |
373 |
Total Drug Submitted ChargeAmount |
5439913.25 |
Total Drug Medicare AllowedAmount |
3452065.2 |
Total Drug Medicare PaymentAmount |
2583488.67 |
Total Drug Medicare Standardized Payment Amount |
2583488.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
21222 |
Number Of Medicare Beneficiaries With Medical Services |
1020 |
Total Medical Submitted Charge Amount |
1440596.02 |
Total Medical Medicare Allowed Amount |
788398.37 |
Total Medical Medicare Payment Amount |
608569.04 |
Total Medical Medicare Standardized Payment Amount |
582045.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
419 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
560 |
Number Of Male Beneficiaries |
460 |
Number Of Non Hispanic White Beneficiaries |
947 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
704 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0303 |