National Provider Identifier [NPI]: |
1326052085 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
MARK |
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 |
225 CANDLER DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314056023 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
90664 |
Number Of Medicare Beneficiaries |
898 |
Total Submitted Charge Amount |
4103417 |
Total Medicare Allowed Amount |
1934782.2 |
Total Medicare Payment Amount |
1491424.33 |
Total Medicare Standardized Payment Amount |
1515710.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
71 |
Number Of Drug Services |
75437 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
2840474 |
Total Drug Medicare AllowedAmount |
1447702.17 |
Total Drug Medicare PaymentAmount |
1116311.51 |
Total Drug Medicare Standardized Payment Amount |
1116311.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
15227 |
Number Of Medicare Beneficiaries With Medical Services |
898 |
Total Medical Submitted Charge Amount |
1262943 |
Total Medical Medicare Allowed Amount |
487080.03 |
Total Medical Medicare Payment Amount |
375112.82 |
Total Medical Medicare Standardized Payment Amount |
399399.44 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
697 |
Number Of Black or African American Beneficiaries |
176 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
809 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7194 |