National Provider Identifier [NPI]: |
1477522639 |
Last Name Of The Provider |
SENG |
First Name Of The Provider |
JOHN |
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 |
910 E 26TH ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
MINNEAPOLIS |
Zip Code Of The Provider |
554044526 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
33362 |
Number Of Medicare Beneficiaries |
296 |
Total Submitted Charge Amount |
2086547 |
Total Medicare Allowed Amount |
557536.14 |
Total Medicare Payment Amount |
425723.84 |
Total Medicare Standardized Payment Amount |
426790.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
28657 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
1583144 |
Total Drug Medicare AllowedAmount |
437109.86 |
Total Drug Medicare PaymentAmount |
330012.4 |
Total Drug Medicare Standardized Payment Amount |
330012.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
4705 |
Number Of Medicare Beneficiaries With Medical Services |
296 |
Total Medical Submitted Charge Amount |
503403 |
Total Medical Medicare Allowed Amount |
120426.28 |
Total Medical Medicare Payment Amount |
95711.44 |
Total Medical Medicare Standardized Payment Amount |
96777.91 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
177 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
254 |
Number Of Black or African American Beneficiaries |
26 |
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 |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0443 |