National Provider Identifier [NPI]: |
1144223298 |
Last Name Of The Provider |
SMITH |
First Name Of The Provider |
KIRBY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
80 HUMPHREYS CENTER DR STE 330 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381202363 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
121050 |
Number Of Medicare Beneficiaries |
566 |
Total Submitted Charge Amount |
4195265 |
Total Medicare Allowed Amount |
1206885.31 |
Total Medicare Payment Amount |
918553.46 |
Total Medicare Standardized Payment Amount |
943318.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
114248 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
3232179 |
Total Drug Medicare AllowedAmount |
865462.2 |
Total Drug Medicare PaymentAmount |
664918.2 |
Total Drug Medicare Standardized Payment Amount |
664918.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
6802 |
Number Of Medicare Beneficiaries With Medical Services |
566 |
Total Medical Submitted Charge Amount |
963086 |
Total Medical Medicare Allowed Amount |
341423.11 |
Total Medical Medicare Payment Amount |
253635.26 |
Total Medical Medicare Standardized Payment Amount |
278400.49 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
394 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
446 |
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 |
436 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7228 |