National Provider Identifier [NPI]: |
1770760704 |
Last Name Of The Provider |
MOORER |
First Name Of The Provider |
GEOFFREY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2280 OPITZ BLVD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
WOODBRIDGE |
Zip Code Of The Provider |
221913362 |
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 |
113 |
Number Of Services |
58820 |
Number Of Medicare Beneficiaries |
717 |
Total Submitted Charge Amount |
5094648 |
Total Medicare Allowed Amount |
1537550.22 |
Total Medicare Payment Amount |
1184903.35 |
Total Medicare Standardized Payment Amount |
1183388.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
52568 |
Number Of Medicare Beneficiaries With Drug Services |
224 |
Total Drug Submitted ChargeAmount |
4295310 |
Total Drug Medicare AllowedAmount |
1302966.13 |
Total Drug Medicare PaymentAmount |
1007113.77 |
Total Drug Medicare Standardized Payment Amount |
1007113.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
6252 |
Number Of Medicare Beneficiaries With Medical Services |
717 |
Total Medical Submitted Charge Amount |
799338 |
Total Medical Medicare Allowed Amount |
234584.09 |
Total Medical Medicare Payment Amount |
177789.58 |
Total Medical Medicare Standardized Payment Amount |
176274.39 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
356 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
550 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
655 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7691 |