National Provider Identifier [NPI]: |
1962452474 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
ROBYN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 W MAGNOLIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761044611 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
169 |
Number Of Services |
140065 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
5160417 |
Total Medicare Allowed Amount |
1868440.73 |
Total Medicare Payment Amount |
1449245.85 |
Total Medicare Standardized Payment Amount |
1455658.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
83 |
Number Of Drug Services |
135129 |
Number Of Medicare Beneficiaries With Drug Services |
337 |
Total Drug Submitted ChargeAmount |
4063011 |
Total Drug Medicare AllowedAmount |
1497034.26 |
Total Drug Medicare PaymentAmount |
1166952.37 |
Total Drug Medicare Standardized Payment Amount |
1166952.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
4936 |
Number Of Medicare Beneficiaries With Medical Services |
778 |
Total Medical Submitted Charge Amount |
1097406 |
Total Medical Medicare Allowed Amount |
371406.47 |
Total Medical Medicare Payment Amount |
282293.48 |
Total Medical Medicare Standardized Payment Amount |
288706.56 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
373 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
625 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
673 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
68 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7655 |