National Provider Identifier [NPI]: |
1801828405 |
Last Name Of The Provider |
WINDSOR |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
880 MONTCLAIR RD |
Street Address 2 Of The Provider |
SUITE 675 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352131972 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
253106 |
Number Of Medicare Beneficiaries |
571 |
Total Submitted Charge Amount |
9125469 |
Total Medicare Allowed Amount |
2959852.15 |
Total Medicare Payment Amount |
2307014.56 |
Total Medicare Standardized Payment Amount |
2319197.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
67 |
Number Of Drug Services |
242767 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
8064469 |
Total Drug Medicare AllowedAmount |
2526274.32 |
Total Drug Medicare PaymentAmount |
1973350.21 |
Total Drug Medicare Standardized Payment Amount |
1973350.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
10339 |
Number Of Medicare Beneficiaries With Medical Services |
571 |
Total Medical Submitted Charge Amount |
1061000 |
Total Medical Medicare Allowed Amount |
433577.83 |
Total Medical Medicare Payment Amount |
333664.35 |
Total Medical Medicare Standardized Payment Amount |
345847.41 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
342 |
Number Of Male Beneficiaries |
229 |
Number Of Non Hispanic White Beneficiaries |
502 |
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 |
508 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8763 |