National Provider Identifier [NPI]: |
1528011350 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
SANDRA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2828 E BARNETT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975048342 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
84312 |
Number Of Medicare Beneficiaries |
646 |
Total Submitted Charge Amount |
4222729 |
Total Medicare Allowed Amount |
1222341.77 |
Total Medicare Payment Amount |
945592.27 |
Total Medicare Standardized Payment Amount |
951550.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
69 |
Number Of Drug Services |
78085 |
Number Of Medicare Beneficiaries With Drug Services |
228 |
Total Drug Submitted ChargeAmount |
3327943 |
Total Drug Medicare AllowedAmount |
969938.82 |
Total Drug Medicare PaymentAmount |
749866.91 |
Total Drug Medicare Standardized Payment Amount |
749866.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
6227 |
Number Of Medicare Beneficiaries With Medical Services |
646 |
Total Medical Submitted Charge Amount |
894786 |
Total Medical Medicare Allowed Amount |
252402.95 |
Total Medical Medicare Payment Amount |
195725.36 |
Total Medical Medicare Standardized Payment Amount |
201683.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
608 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
564 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6612 |