National Provider Identifier [NPI]: |
1548266844 |
Last Name Of The Provider |
KASSEM |
First Name Of The Provider |
BACHAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
95 BOGLE OFFICE PARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOMERSET |
Zip Code Of The Provider |
425032810 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
103523 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
7132711.41 |
Total Medicare Allowed Amount |
1952908.27 |
Total Medicare Payment Amount |
1411350.61 |
Total Medicare Standardized Payment Amount |
1431986.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
90635 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
5357813.83 |
Total Drug Medicare AllowedAmount |
1375895.36 |
Total Drug Medicare PaymentAmount |
965418.07 |
Total Drug Medicare Standardized Payment Amount |
965418.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
12888 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
1774897.58 |
Total Medical Medicare Allowed Amount |
577012.91 |
Total Medical Medicare Payment Amount |
445932.54 |
Total Medical Medicare Standardized Payment Amount |
466568.45 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
189 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
293 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
219 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8293 |