National Provider Identifier [NPI]: |
1609821842 |
Last Name Of The Provider |
RASP |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9000 N MAIN ST |
Street Address 2 Of The Provider |
CANCER CARE CENTER |
City Of The Provider |
DAYTON |
Zip Code Of The Provider |
454151180 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
19872 |
Number Of Medicare Beneficiaries |
692 |
Total Submitted Charge Amount |
7004467.04 |
Total Medicare Allowed Amount |
1536669.27 |
Total Medicare Payment Amount |
1198921.73 |
Total Medicare Standardized Payment Amount |
1255851.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
41 |
Number Of Drug Services |
13192 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
199691.66 |
Total Drug Medicare AllowedAmount |
98780.64 |
Total Drug Medicare PaymentAmount |
77443.95 |
Total Drug Medicare Standardized Payment Amount |
77443.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
6680 |
Number Of Medicare Beneficiaries With Medical Services |
692 |
Total Medical Submitted Charge Amount |
6804775.38 |
Total Medical Medicare Allowed Amount |
1437888.63 |
Total Medical Medicare Payment Amount |
1121477.78 |
Total Medical Medicare Standardized Payment Amount |
1178407.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
425 |
Number Of Non Hispanic White Beneficiaries |
577 |
Number Of Black or African American Beneficiaries |
93 |
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 |
608 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
75 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4919 |