National Provider Identifier [NPI]: |
1093711103 |
Last Name Of The Provider |
SWEENEY |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
810 JASONWAY AVE |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432144359 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
41612 |
Number Of Medicare Beneficiaries |
478 |
Total Submitted Charge Amount |
2613113 |
Total Medicare Allowed Amount |
829586.5 |
Total Medicare Payment Amount |
636658.24 |
Total Medicare Standardized Payment Amount |
641288.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
46 |
Number Of Drug Services |
38699 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
1915197 |
Total Drug Medicare AllowedAmount |
614465.76 |
Total Drug Medicare PaymentAmount |
480944.08 |
Total Drug Medicare Standardized Payment Amount |
480944.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2913 |
Number Of Medicare Beneficiaries With Medical Services |
478 |
Total Medical Submitted Charge Amount |
697916 |
Total Medical Medicare Allowed Amount |
215120.74 |
Total Medical Medicare Payment Amount |
155714.16 |
Total Medical Medicare Standardized Payment Amount |
160344.7 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
451 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6015 |