National Provider Identifier [NPI]: |
1962444810 |
Last Name Of The Provider |
SCHACHNER |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
690 N 14TH ST |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
BEAUMONT |
Zip Code Of The Provider |
777021449 |
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 |
141 |
Number Of Services |
128214 |
Number Of Medicare Beneficiaries |
575 |
Total Submitted Charge Amount |
10566305 |
Total Medicare Allowed Amount |
3249578.86 |
Total Medicare Payment Amount |
2536114.17 |
Total Medicare Standardized Payment Amount |
2556031.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
110371 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
8388057 |
Total Drug Medicare AllowedAmount |
2626855.89 |
Total Drug Medicare PaymentAmount |
2046871.68 |
Total Drug Medicare Standardized Payment Amount |
2046871.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
17843 |
Number Of Medicare Beneficiaries With Medical Services |
575 |
Total Medical Submitted Charge Amount |
2178248 |
Total Medical Medicare Allowed Amount |
622722.97 |
Total Medical Medicare Payment Amount |
489242.49 |
Total Medical Medicare Standardized Payment Amount |
509160.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
328 |
Number Of Male Beneficiaries |
247 |
Number Of Non Hispanic White Beneficiaries |
449 |
Number Of Black or African American Beneficiaries |
108 |
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 |
461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.4132 |