National Provider Identifier [NPI]: |
1114951639 |
Last Name Of The Provider |
TUCKER |
First Name Of The Provider |
KENT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 PILOT MEDICAL DRIVE |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
35235 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
179188 |
Number Of Medicare Beneficiaries |
488 |
Total Submitted Charge Amount |
6719088 |
Total Medicare Allowed Amount |
2148372.34 |
Total Medicare Payment Amount |
1680725.34 |
Total Medicare Standardized Payment Amount |
1690056.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
173599 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
6003182 |
Total Drug Medicare AllowedAmount |
1857983.12 |
Total Drug Medicare PaymentAmount |
1456177.54 |
Total Drug Medicare Standardized Payment Amount |
1456177.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5589 |
Number Of Medicare Beneficiaries With Medical Services |
488 |
Total Medical Submitted Charge Amount |
715906 |
Total Medical Medicare Allowed Amount |
290389.22 |
Total Medical Medicare Payment Amount |
224547.8 |
Total Medical Medicare Standardized Payment Amount |
233879.44 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
196 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
439 |
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 |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9394 |