National Provider Identifier [NPI]: |
1003891854 |
Last Name Of The Provider |
CIRENZA |
First Name Of The Provider |
EMANUEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
590 PETER JEFFERSON PLACE |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229110001 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
53955 |
Number Of Medicare Beneficiaries |
486 |
Total Submitted Charge Amount |
2817842.94 |
Total Medicare Allowed Amount |
669721.47 |
Total Medicare Payment Amount |
515371.87 |
Total Medicare Standardized Payment Amount |
515385.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
51142 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
2382284.24 |
Total Drug Medicare AllowedAmount |
513700.3 |
Total Drug Medicare PaymentAmount |
399719.49 |
Total Drug Medicare Standardized Payment Amount |
399719.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2813 |
Number Of Medicare Beneficiaries With Medical Services |
486 |
Total Medical Submitted Charge Amount |
435558.7 |
Total Medical Medicare Allowed Amount |
156021.17 |
Total Medical Medicare Payment Amount |
115652.38 |
Total Medical Medicare Standardized Payment Amount |
115666.41 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
214 |
Number Of Non Hispanic White Beneficiaries |
408 |
Number Of Black or African American Beneficiaries |
64 |
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 |
425 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9626 |