National Provider Identifier [NPI]: |
1215139027 |
Last Name Of The Provider |
NAIR |
First Name Of The Provider |
BINU |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD, FACP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2380 N INTERSTATE 35 EAST SERVICE RD |
Street Address 2 Of The Provider |
BAYLOR CHARLES A SAMMONS CANCER CENTER |
City Of The Provider |
WAXAHACHIE |
Zip Code Of The Provider |
75165 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
5511 |
Number Of Medicare Beneficiaries |
367 |
Total Submitted Charge Amount |
256579.6 |
Total Medicare Allowed Amount |
97426.26 |
Total Medicare Payment Amount |
66330.08 |
Total Medicare Standardized Payment Amount |
68376.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
29 |
Number Of Drug Services |
4608 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
125044.1 |
Total Drug Medicare AllowedAmount |
34422.41 |
Total Drug Medicare PaymentAmount |
22029.53 |
Total Drug Medicare Standardized Payment Amount |
22029.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
903 |
Number Of Medicare Beneficiaries With Medical Services |
367 |
Total Medical Submitted Charge Amount |
131535.5 |
Total Medical Medicare Allowed Amount |
63003.85 |
Total Medical Medicare Payment Amount |
44300.55 |
Total Medical Medicare Standardized Payment Amount |
46346.48 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
80 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
188 |
Number Of Male Beneficiaries |
179 |
Number Of Non Hispanic White Beneficiaries |
185 |
Number Of Black or African American Beneficiaries |
167 |
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 |
204 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
28 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9372 |