National Provider Identifier [NPI]: |
1033174560 |
Last Name Of The Provider |
FEIGERT |
First Name Of The Provider |
JOHN |
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 |
1635 N GEORGE MASON DR |
Street Address 2 Of The Provider |
STE 170 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222053633 |
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 |
143 |
Number Of Services |
84331 |
Number Of Medicare Beneficiaries |
698 |
Total Submitted Charge Amount |
4371486 |
Total Medicare Allowed Amount |
1236560.65 |
Total Medicare Payment Amount |
962419.67 |
Total Medicare Standardized Payment Amount |
936521.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
68 |
Number Of Drug Services |
78115 |
Number Of Medicare Beneficiaries With Drug Services |
229 |
Total Drug Submitted ChargeAmount |
3591768 |
Total Drug Medicare AllowedAmount |
962807.2 |
Total Drug Medicare PaymentAmount |
753434.57 |
Total Drug Medicare Standardized Payment Amount |
753434.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
6216 |
Number Of Medicare Beneficiaries With Medical Services |
698 |
Total Medical Submitted Charge Amount |
779718 |
Total Medical Medicare Allowed Amount |
273753.45 |
Total Medical Medicare Payment Amount |
208985.1 |
Total Medical Medicare Standardized Payment Amount |
183086.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
299 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
557 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
633 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8374 |