National Provider Identifier [NPI]: |
1376629337 |
Last Name Of The Provider |
BEEKMAN |
First Name Of The Provider |
KATHLEEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5301 HURON RIVER DRIVE |
Street Address 2 Of The Provider |
SUITE C139 |
City Of The Provider |
YPSILANTI |
Zip Code Of The Provider |
48197 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
36441 |
Number Of Medicare Beneficiaries |
426 |
Total Submitted Charge Amount |
1039525 |
Total Medicare Allowed Amount |
564929.18 |
Total Medicare Payment Amount |
439688.94 |
Total Medicare Standardized Payment Amount |
433950.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
54 |
Number Of Drug Services |
34800 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
805936 |
Total Drug Medicare AllowedAmount |
424601.05 |
Total Drug Medicare PaymentAmount |
332698.71 |
Total Drug Medicare Standardized Payment Amount |
332698.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1641 |
Number Of Medicare Beneficiaries With Medical Services |
426 |
Total Medical Submitted Charge Amount |
233589 |
Total Medical Medicare Allowed Amount |
140328.13 |
Total Medical Medicare Payment Amount |
106990.23 |
Total Medical Medicare Standardized Payment Amount |
101251.43 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
387 |
Number Of Black or African American Beneficiaries |
24 |
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 |
376 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
61 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7425 |