National Provider Identifier [NPI]: |
1700840980 |
Last Name Of The Provider |
WHITE |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
628 HOSPITAL DR |
Street Address 2 Of The Provider |
GROUND FLOOR, SUITE A |
City Of The Provider |
MOUNTAIN HOME |
Zip Code Of The Provider |
726532953 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
66513 |
Number Of Medicare Beneficiaries |
771 |
Total Submitted Charge Amount |
5593361 |
Total Medicare Allowed Amount |
2483382.86 |
Total Medicare Payment Amount |
1928980.64 |
Total Medicare Standardized Payment Amount |
1949586.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
46 |
Number Of Drug Services |
54820 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
2383700 |
Total Drug Medicare AllowedAmount |
1368778.93 |
Total Drug Medicare PaymentAmount |
1062863.69 |
Total Drug Medicare Standardized Payment Amount |
1062863.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
11693 |
Number Of Medicare Beneficiaries With Medical Services |
771 |
Total Medical Submitted Charge Amount |
3209661 |
Total Medical Medicare Allowed Amount |
1114603.93 |
Total Medical Medicare Payment Amount |
866116.95 |
Total Medical Medicare Standardized Payment Amount |
886722.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
334 |
Number Of Non Hispanic White Beneficiaries |
750 |
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 |
655 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6392 |