National Provider Identifier [NPI]: |
1194784207 |
Last Name Of The Provider |
WEINSHEL |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6545 FRANCE AVE S |
Street Address 2 Of The Provider |
STE 210 |
City Of The Provider |
EDINA |
Zip Code Of The Provider |
554352281 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
80155 |
Number Of Medicare Beneficiaries |
498 |
Total Submitted Charge Amount |
4279702 |
Total Medicare Allowed Amount |
1205978.1 |
Total Medicare Payment Amount |
945627.21 |
Total Medicare Standardized Payment Amount |
945258.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
71 |
Number Of Drug Services |
73843 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
3540626 |
Total Drug Medicare AllowedAmount |
1024642.04 |
Total Drug Medicare PaymentAmount |
801650.48 |
Total Drug Medicare Standardized Payment Amount |
801650.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
6312 |
Number Of Medicare Beneficiaries With Medical Services |
497 |
Total Medical Submitted Charge Amount |
739076 |
Total Medical Medicare Allowed Amount |
181336.06 |
Total Medical Medicare Payment Amount |
143976.73 |
Total Medical Medicare Standardized Payment Amount |
143607.99 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
196 |
Number Of Non Hispanic White Beneficiaries |
475 |
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 |
460 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0854 |