National Provider Identifier [NPI]: |
1952381832 |
Last Name Of The Provider |
GOSWITZ |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
170 W TENNESSEE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAK RIDGE |
Zip Code Of The Provider |
37830 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
3193 |
Number Of Medicare Beneficiaries |
206 |
Total Submitted Charge Amount |
207658 |
Total Medicare Allowed Amount |
140084.64 |
Total Medicare Payment Amount |
101870.01 |
Total Medicare Standardized Payment Amount |
106402.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
198 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
5008 |
Total Drug Medicare AllowedAmount |
2205.72 |
Total Drug Medicare PaymentAmount |
2087.05 |
Total Drug Medicare Standardized Payment Amount |
2087.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2995 |
Number Of Medicare Beneficiaries With Medical Services |
206 |
Total Medical Submitted Charge Amount |
202650 |
Total Medical Medicare Allowed Amount |
137878.92 |
Total Medical Medicare Payment Amount |
99782.96 |
Total Medical Medicare Standardized Payment Amount |
104315.92 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
50 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
151 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
188 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0973 |