National Provider Identifier [NPI]: |
1174556492 |
Last Name Of The Provider |
BI |
First Name Of The Provider |
JIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4220 HARDING PIKE |
Street Address 2 Of The Provider |
S & E BUILDING SUITE 200 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372052005 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
81018 |
Number Of Medicare Beneficiaries |
412 |
Total Submitted Charge Amount |
1010351 |
Total Medicare Allowed Amount |
669091.61 |
Total Medicare Payment Amount |
521785.36 |
Total Medicare Standardized Payment Amount |
521407.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
33 |
Number Of Drug Services |
75947 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
651277 |
Total Drug Medicare AllowedAmount |
503609.25 |
Total Drug Medicare PaymentAmount |
394351.28 |
Total Drug Medicare Standardized Payment Amount |
394351.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
5071 |
Number Of Medicare Beneficiaries With Medical Services |
412 |
Total Medical Submitted Charge Amount |
359074 |
Total Medical Medicare Allowed Amount |
165482.36 |
Total Medical Medicare Payment Amount |
127434.08 |
Total Medical Medicare Standardized Payment Amount |
127056.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
357 |
Number Of Black or African American Beneficiaries |
39 |
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 |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9371 |