National Provider Identifier [NPI]: |
1639130602 |
Last Name Of The Provider |
MILLS |
First Name Of The Provider |
JANETE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1144A N. ROAD STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELIZABETH CITY |
Zip Code Of The Provider |
27909 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
11127 |
Number Of Medicare Beneficiaries |
324 |
Total Submitted Charge Amount |
6355090 |
Total Medicare Allowed Amount |
1424104.9 |
Total Medicare Payment Amount |
1086639.4 |
Total Medicare Standardized Payment Amount |
1103470.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3987 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
123372 |
Total Drug Medicare AllowedAmount |
33677.08 |
Total Drug Medicare PaymentAmount |
23825.36 |
Total Drug Medicare Standardized Payment Amount |
23825.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
7140 |
Number Of Medicare Beneficiaries With Medical Services |
324 |
Total Medical Submitted Charge Amount |
6231718 |
Total Medical Medicare Allowed Amount |
1390427.82 |
Total Medical Medicare Payment Amount |
1062814.04 |
Total Medical Medicare Standardized Payment Amount |
1079645.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
142 |
Number Of Non Hispanic White Beneficiaries |
211 |
Number Of Black or African American Beneficiaries |
92 |
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 |
274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
69 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0123 |