National Provider Identifier [NPI]: |
1881686848 |
Last Name Of The Provider |
WU |
First Name Of The Provider |
HILLARY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6845 RAMA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
INDIANAPOLIST |
Zip Code Of The Provider |
462191707 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
13009 |
Number Of Medicare Beneficiaries |
447 |
Total Submitted Charge Amount |
1025484 |
Total Medicare Allowed Amount |
310555.95 |
Total Medicare Payment Amount |
238944.44 |
Total Medicare Standardized Payment Amount |
240664.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
10916 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
693754 |
Total Drug Medicare AllowedAmount |
178596.67 |
Total Drug Medicare PaymentAmount |
140018.14 |
Total Drug Medicare Standardized Payment Amount |
140018.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2093 |
Number Of Medicare Beneficiaries With Medical Services |
447 |
Total Medical Submitted Charge Amount |
331730 |
Total Medical Medicare Allowed Amount |
131959.28 |
Total Medical Medicare Payment Amount |
98926.3 |
Total Medical Medicare Standardized Payment Amount |
100646.48 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
293 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
364 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
361 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0664 |