National Provider Identifier [NPI]: |
1417944042 |
Last Name Of The Provider |
MUSCATO |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1705 E BROADWAY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652015852 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
157 |
Number Of Services |
121555 |
Number Of Medicare Beneficiaries |
629 |
Total Submitted Charge Amount |
7753306 |
Total Medicare Allowed Amount |
2312469.02 |
Total Medicare Payment Amount |
1797479.53 |
Total Medicare Standardized Payment Amount |
1827072.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
70 |
Number Of Drug Services |
114537 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
6304196 |
Total Drug Medicare AllowedAmount |
1931687.76 |
Total Drug Medicare PaymentAmount |
1506693.27 |
Total Drug Medicare Standardized Payment Amount |
1506693.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
7018 |
Number Of Medicare Beneficiaries With Medical Services |
629 |
Total Medical Submitted Charge Amount |
1449110 |
Total Medical Medicare Allowed Amount |
380781.26 |
Total Medical Medicare Payment Amount |
290786.26 |
Total Medical Medicare Standardized Payment Amount |
320378.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
608 |
Number Of Black or African American Beneficiaries |
|
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 |
582 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7152 |