National Provider Identifier [NPI]: |
1790727709 |
Last Name Of The Provider |
O'SHAUGHNESSY |
First Name Of The Provider |
JOYCE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3410 WORTH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752462003 |
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 |
124 |
Number Of Services |
51866 |
Number Of Medicare Beneficiaries |
344 |
Total Submitted Charge Amount |
3082655 |
Total Medicare Allowed Amount |
1001853.71 |
Total Medicare Payment Amount |
767899.83 |
Total Medicare Standardized Payment Amount |
765862.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
41 |
Number Of Drug Services |
46958 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
2322170 |
Total Drug Medicare AllowedAmount |
780068.58 |
Total Drug Medicare PaymentAmount |
593678.21 |
Total Drug Medicare Standardized Payment Amount |
593678.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
4908 |
Number Of Medicare Beneficiaries With Medical Services |
344 |
Total Medical Submitted Charge Amount |
760485 |
Total Medical Medicare Allowed Amount |
221785.13 |
Total Medical Medicare Payment Amount |
174221.62 |
Total Medical Medicare Standardized Payment Amount |
172183.94 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
19 |
Number Of Non Hispanic White Beneficiaries |
295 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
326 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
75 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2066 |