National Provider Identifier [NPI]: |
1033180229 |
Last Name Of The Provider |
BRADFORD |
First Name Of The Provider |
DANIEL |
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 |
808 S 52ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROGERS |
Zip Code Of The Provider |
727588602 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
250 |
Number Of Services |
255189 |
Number Of Medicare Beneficiaries |
1193 |
Total Submitted Charge Amount |
9914427.1 |
Total Medicare Allowed Amount |
4487131.66 |
Total Medicare Payment Amount |
3484231.32 |
Total Medicare Standardized Payment Amount |
3586540.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
105 |
Number Of Drug Services |
215806 |
Number Of Medicare Beneficiaries With Drug Services |
732 |
Total Drug Submitted ChargeAmount |
4918548.7 |
Total Drug Medicare AllowedAmount |
2726273.01 |
Total Drug Medicare PaymentAmount |
2094327.11 |
Total Drug Medicare Standardized Payment Amount |
2094327.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
39383 |
Number Of Medicare Beneficiaries With Medical Services |
1190 |
Total Medical Submitted Charge Amount |
4995878.4 |
Total Medical Medicare Allowed Amount |
1760858.65 |
Total Medical Medicare Payment Amount |
1389904.21 |
Total Medical Medicare Standardized Payment Amount |
1492213.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
532 |
Number Of Beneficiaries Age 75 to 84 |
386 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
718 |
Number Of Male Beneficiaries |
475 |
Number Of Non Hispanic White Beneficiaries |
1138 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1034 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7713 |