National Provider Identifier [NPI]: |
1023088564 |
Last Name Of The Provider |
FINNIE |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
607 S NEW BALLAS RD |
Street Address 2 Of The Provider |
SUITE 3300 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631418222 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
70182 |
Number Of Medicare Beneficiaries |
604 |
Total Submitted Charge Amount |
1612984 |
Total Medicare Allowed Amount |
1048472.68 |
Total Medicare Payment Amount |
759692.88 |
Total Medicare Standardized Payment Amount |
758464.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
66023 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
1093315 |
Total Drug Medicare AllowedAmount |
759499.57 |
Total Drug Medicare PaymentAmount |
546596.64 |
Total Drug Medicare Standardized Payment Amount |
546596.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4159 |
Number Of Medicare Beneficiaries With Medical Services |
603 |
Total Medical Submitted Charge Amount |
519669 |
Total Medical Medicare Allowed Amount |
288973.11 |
Total Medical Medicare Payment Amount |
213096.24 |
Total Medical Medicare Standardized Payment Amount |
211868.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
338 |
Number Of Male Beneficiaries |
266 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
31 |
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 |
536 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9473 |