National Provider Identifier [NPI]: |
1427269331 |
Last Name Of The Provider |
CASSELL |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1704 23RD AVE |
Street Address 2 Of The Provider |
SECOND FLOOR |
City Of The Provider |
MERIDIAN |
Zip Code Of The Provider |
393013103 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
250971 |
Number Of Medicare Beneficiaries |
579 |
Total Submitted Charge Amount |
6118764.9 |
Total Medicare Allowed Amount |
3150374.72 |
Total Medicare Payment Amount |
2394753.95 |
Total Medicare Standardized Payment Amount |
2425048.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
239176 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
4669653.9 |
Total Drug Medicare AllowedAmount |
2642753.69 |
Total Drug Medicare PaymentAmount |
1995679.56 |
Total Drug Medicare Standardized Payment Amount |
1995679.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
11795 |
Number Of Medicare Beneficiaries With Medical Services |
579 |
Total Medical Submitted Charge Amount |
1449111 |
Total Medical Medicare Allowed Amount |
507621.03 |
Total Medical Medicare Payment Amount |
399074.39 |
Total Medical Medicare Standardized Payment Amount |
429369.04 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
341 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
392 |
Number Of Black or African American Beneficiaries |
175 |
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 |
393 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.792 |