| National Provider Identifier [NPI]: | 1962478164 |
| Last Name Of The Provider | GOLDSCHMIDT |
| First Name Of The Provider | JEROME |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2955 MARKET ST |
| Street Address 2 Of The Provider | SUITE 5 |
| City Of The Provider | CHRISTIANSBURG |
| Zip Code Of The Provider | 240736575 |
| 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 | 156 |
| Number Of Services | 131063.5 |
| Number Of Medicare Beneficiaries | 838 |
| Total Submitted Charge Amount | 8120280.7 |
| Total Medicare Allowed Amount | 2404508.01 |
| Total Medicare Payment Amount | 1859153.95 |
| Total Medicare Standardized Payment Amount | 1857922.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 81 |
| Number Of Drug Services | 121054.5 |
| Number Of Medicare Beneficiaries With Drug Services | 378 |
| Total Drug Submitted ChargeAmount | 6843454.7 |
| Total Drug Medicare AllowedAmount | 2023905.99 |
| Total Drug Medicare PaymentAmount | 1563824.58 |
| Total Drug Medicare Standardized Payment Amount | 1563824.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 75 |
| Number Of Medical Services | 10009 |
| Number Of Medicare Beneficiaries With Medical Services | 838 |
| Total Medical Submitted Charge Amount | 1276826 |
| Total Medical Medicare Allowed Amount | 380602.02 |
| Total Medical Medicare Payment Amount | 295329.37 |
| Total Medical Medicare Standardized Payment Amount | 294098.29 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 135 |
| Number Of Beneficiaries Age 65 to 74 | 362 |
| Number Of Beneficiaries Age 75 to 84 | 258 |
| Number Of Beneficiaries Age Greater 84 | 83 |
| Number Of Female Beneficiaries | 487 |
| Number Of Male Beneficiaries | 351 |
| Number Of Non Hispanic White Beneficiaries | 801 |
| Number Of Black or African American Beneficiaries | 25 |
| 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 | 688 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 150 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 43 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 32 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.8048 |