National Provider Identifier [NPI]: |
1629162409 |
Last Name Of The Provider |
VERDIRAME |
First Name Of The Provider |
JOSEPH |
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 |
6901 N 72ND ST |
Street Address 2 Of The Provider |
SUITE 2244 |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681221709 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
111350 |
Number Of Medicare Beneficiaries |
834 |
Total Submitted Charge Amount |
4343653 |
Total Medicare Allowed Amount |
1774608.26 |
Total Medicare Payment Amount |
1380720.2 |
Total Medicare Standardized Payment Amount |
1384582.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
105678 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
3635767 |
Total Drug Medicare AllowedAmount |
1475794.29 |
Total Drug Medicare PaymentAmount |
1152206.63 |
Total Drug Medicare Standardized Payment Amount |
1152206.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
5672 |
Number Of Medicare Beneficiaries With Medical Services |
834 |
Total Medical Submitted Charge Amount |
707886 |
Total Medical Medicare Allowed Amount |
298813.97 |
Total Medical Medicare Payment Amount |
228513.57 |
Total Medical Medicare Standardized Payment Amount |
232376.22 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
502 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
753 |
Number Of Black or African American Beneficiaries |
57 |
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 |
704 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7765 |