National Provider Identifier [NPI]: |
1922063437 |
Last Name Of The Provider |
CHRISTIE |
First Name Of The Provider |
ROBERT |
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 |
1635 N GEORGE MASON DR |
Street Address 2 Of The Provider |
STE 170 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222053633 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
80499 |
Number Of Medicare Beneficiaries |
632 |
Total Submitted Charge Amount |
4201719 |
Total Medicare Allowed Amount |
1158433.42 |
Total Medicare Payment Amount |
892458.92 |
Total Medicare Standardized Payment Amount |
867578.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
70 |
Number Of Drug Services |
75067 |
Number Of Medicare Beneficiaries With Drug Services |
218 |
Total Drug Submitted ChargeAmount |
3488459 |
Total Drug Medicare AllowedAmount |
897394.12 |
Total Drug Medicare PaymentAmount |
693505.29 |
Total Drug Medicare Standardized Payment Amount |
693505.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
5432 |
Number Of Medicare Beneficiaries With Medical Services |
632 |
Total Medical Submitted Charge Amount |
713260 |
Total Medical Medicare Allowed Amount |
261039.3 |
Total Medical Medicare Payment Amount |
198953.63 |
Total Medical Medicare Standardized Payment Amount |
174073.39 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
328 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
478 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
561 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8614 |