National Provider Identifier [NPI]: |
1962421263 |
Last Name Of The Provider |
FALKENBERG |
First Name Of The Provider |
ELIZABETH |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 HOSPITAL DR SW |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358016455 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
9836 |
Number Of Medicare Beneficiaries |
939 |
Total Submitted Charge Amount |
7836490 |
Total Medicare Allowed Amount |
2023220.47 |
Total Medicare Payment Amount |
1569900.64 |
Total Medicare Standardized Payment Amount |
1740421.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
74 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
42125 |
Total Drug Medicare AllowedAmount |
10535.4 |
Total Drug Medicare PaymentAmount |
8213.7 |
Total Drug Medicare Standardized Payment Amount |
8213.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
9762 |
Number Of Medicare Beneficiaries With Medical Services |
939 |
Total Medical Submitted Charge Amount |
7794365 |
Total Medical Medicare Allowed Amount |
2012685.07 |
Total Medical Medicare Payment Amount |
1561686.94 |
Total Medical Medicare Standardized Payment Amount |
1732207.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
437 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
489 |
Number Of Male Beneficiaries |
450 |
Number Of Non Hispanic White Beneficiaries |
821 |
Number Of Black or African American Beneficiaries |
103 |
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 |
811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
69 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6392 |