National Provider Identifier [NPI]: |
1093769903 |
Last Name Of The Provider |
BOYER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
590 PETER JEFFERSON PLACE |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229110001 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
69006 |
Number Of Medicare Beneficiaries |
602 |
Total Submitted Charge Amount |
3431895.9 |
Total Medicare Allowed Amount |
766805.67 |
Total Medicare Payment Amount |
584936.07 |
Total Medicare Standardized Payment Amount |
584814.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
62 |
Number Of Drug Services |
65998 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
2965225.29 |
Total Drug Medicare AllowedAmount |
598296.49 |
Total Drug Medicare PaymentAmount |
460562.72 |
Total Drug Medicare Standardized Payment Amount |
460562.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3008 |
Number Of Medicare Beneficiaries With Medical Services |
602 |
Total Medical Submitted Charge Amount |
466670.61 |
Total Medical Medicare Allowed Amount |
168509.18 |
Total Medical Medicare Payment Amount |
124373.35 |
Total Medical Medicare Standardized Payment Amount |
124251.93 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
70 |
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 |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.8777 |