National Provider Identifier [NPI]: |
1164440616 |
Last Name Of The Provider |
ADKINS |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4921 PARKVIEW PL |
Street Address 2 Of The Provider |
7TH FLOOR |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631101032 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
44517 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
1946918 |
Total Medicare Allowed Amount |
682623.25 |
Total Medicare Payment Amount |
530845.52 |
Total Medicare Standardized Payment Amount |
529730.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
42003 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
1461125 |
Total Drug Medicare AllowedAmount |
510035.01 |
Total Drug Medicare PaymentAmount |
399591.8 |
Total Drug Medicare Standardized Payment Amount |
399591.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2514 |
Number Of Medicare Beneficiaries With Medical Services |
430 |
Total Medical Submitted Charge Amount |
485793 |
Total Medical Medicare Allowed Amount |
172588.24 |
Total Medical Medicare Payment Amount |
131253.72 |
Total Medical Medicare Standardized Payment Amount |
130138.36 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
354 |
Number Of Black or African American Beneficiaries |
58 |
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 |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
2.4513 |