National Provider Identifier [NPI]: |
1306862669 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
DANA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
250 25TH AVE N |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372031632 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
314597 |
Number Of Medicare Beneficiaries |
660 |
Total Submitted Charge Amount |
4859009 |
Total Medicare Allowed Amount |
3088350.04 |
Total Medicare Payment Amount |
2417410.36 |
Total Medicare Standardized Payment Amount |
2428277.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
288464 |
Number Of Medicare Beneficiaries With Drug Services |
256 |
Total Drug Submitted ChargeAmount |
3427368 |
Total Drug Medicare AllowedAmount |
2554253.92 |
Total Drug Medicare PaymentAmount |
1993365.08 |
Total Drug Medicare Standardized Payment Amount |
1993365.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
26133 |
Number Of Medicare Beneficiaries With Medical Services |
660 |
Total Medical Submitted Charge Amount |
1431641 |
Total Medical Medicare Allowed Amount |
534096.12 |
Total Medical Medicare Payment Amount |
424045.28 |
Total Medical Medicare Standardized Payment Amount |
434911.96 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
306 |
Number Of Non Hispanic White Beneficiaries |
585 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.9869 |