National Provider Identifier [NPI]: |
1811134158 |
Last Name Of The Provider |
BEDOYA |
First Name Of The Provider |
DIEGO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 CCI DR NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358052606 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
189 |
Number Of Services |
247111 |
Number Of Medicare Beneficiaries |
1825 |
Total Submitted Charge Amount |
8823799.5 |
Total Medicare Allowed Amount |
3881885.8 |
Total Medicare Payment Amount |
2964815.62 |
Total Medicare Standardized Payment Amount |
2991174.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
92 |
Number Of Drug Services |
227225 |
Number Of Medicare Beneficiaries With Drug Services |
555 |
Total Drug Submitted ChargeAmount |
7304934 |
Total Drug Medicare AllowedAmount |
3195784.85 |
Total Drug Medicare PaymentAmount |
2425735.64 |
Total Drug Medicare Standardized Payment Amount |
2425735.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
19886 |
Number Of Medicare Beneficiaries With Medical Services |
1825 |
Total Medical Submitted Charge Amount |
1518865.5 |
Total Medical Medicare Allowed Amount |
686100.95 |
Total Medical Medicare Payment Amount |
539079.98 |
Total Medical Medicare Standardized Payment Amount |
565438.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
252 |
Number Of Beneficiaries Age 65 to 74 |
764 |
Number Of Beneficiaries Age 75 to 84 |
630 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
1013 |
Number Of Male Beneficiaries |
812 |
Number Of Non Hispanic White Beneficiaries |
1542 |
Number Of Black or African American Beneficiaries |
238 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1547 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
278 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9671 |