National Provider Identifier [NPI]: |
1194743914 |
Last Name Of The Provider |
PENLEY |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 20TH AVE N |
Street Address 2 Of The Provider |
STE 301 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372032131 |
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 |
126 |
Number Of Services |
37338 |
Number Of Medicare Beneficiaries |
401 |
Total Submitted Charge Amount |
935181 |
Total Medicare Allowed Amount |
598450.33 |
Total Medicare Payment Amount |
446918.41 |
Total Medicare Standardized Payment Amount |
451819.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
33535 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
637975 |
Total Drug Medicare AllowedAmount |
478586.46 |
Total Drug Medicare PaymentAmount |
356501.54 |
Total Drug Medicare Standardized Payment Amount |
356501.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
3803 |
Number Of Medicare Beneficiaries With Medical Services |
401 |
Total Medical Submitted Charge Amount |
297206 |
Total Medical Medicare Allowed Amount |
119863.87 |
Total Medical Medicare Payment Amount |
90416.87 |
Total Medical Medicare Standardized Payment Amount |
95317.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
242 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
347 |
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 |
366 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.6204 |