National Provider Identifier [NPI]: |
1134161243 |
Last Name Of The Provider |
NADLER |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3410 WORTH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752462003 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
193935 |
Number Of Medicare Beneficiaries |
266 |
Total Submitted Charge Amount |
10914222 |
Total Medicare Allowed Amount |
2814862.75 |
Total Medicare Payment Amount |
2191926.63 |
Total Medicare Standardized Payment Amount |
2209348 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
176648 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
7380295 |
Total Drug Medicare AllowedAmount |
1939434.6 |
Total Drug Medicare PaymentAmount |
1498250.53 |
Total Drug Medicare Standardized Payment Amount |
1498250.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
17287 |
Number Of Medicare Beneficiaries With Medical Services |
266 |
Total Medical Submitted Charge Amount |
3533927 |
Total Medical Medicare Allowed Amount |
875428.15 |
Total Medical Medicare Payment Amount |
693676.1 |
Total Medical Medicare Standardized Payment Amount |
711097.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
204 |
Number Of Black or African American Beneficiaries |
37 |
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 |
225 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.1887 |