National Provider Identifier [NPI]: |
1538291380 |
Last Name Of The Provider |
HARROFF |
First Name Of The Provider |
ALLYSON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2130 N.E.LOOP 410 |
Street Address 2 Of The Provider |
SUITE #100 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782174660 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
170 |
Number Of Services |
88028 |
Number Of Medicare Beneficiaries |
490 |
Total Submitted Charge Amount |
4514212 |
Total Medicare Allowed Amount |
1212539.92 |
Total Medicare Payment Amount |
927555.97 |
Total Medicare Standardized Payment Amount |
942129.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
69 |
Number Of Drug Services |
79868 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
3469002 |
Total Drug Medicare AllowedAmount |
935171.41 |
Total Drug Medicare PaymentAmount |
709723.71 |
Total Drug Medicare Standardized Payment Amount |
709723.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
8160 |
Number Of Medicare Beneficiaries With Medical Services |
489 |
Total Medical Submitted Charge Amount |
1045210 |
Total Medical Medicare Allowed Amount |
277368.51 |
Total Medical Medicare Payment Amount |
217832.26 |
Total Medical Medicare Standardized Payment Amount |
232406.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
304 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
369 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
425 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9252 |