National Provider Identifier [NPI]: |
1194723965 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
504 AZALEA DR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
OXFORD |
Zip Code Of The Provider |
386555397 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
4106 |
Number Of Medicare Beneficiaries |
551 |
Total Submitted Charge Amount |
417229 |
Total Medicare Allowed Amount |
157899.76 |
Total Medicare Payment Amount |
122087.73 |
Total Medicare Standardized Payment Amount |
131199.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
600 |
Total Drug Medicare AllowedAmount |
184.8 |
Total Drug Medicare PaymentAmount |
181.08 |
Total Drug Medicare Standardized Payment Amount |
181.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4094 |
Number Of Medicare Beneficiaries With Medical Services |
551 |
Total Medical Submitted Charge Amount |
416629 |
Total Medical Medicare Allowed Amount |
157714.96 |
Total Medical Medicare Payment Amount |
121906.65 |
Total Medical Medicare Standardized Payment Amount |
131018.58 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
364 |
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 |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7367 |