National Provider Identifier [NPI]: |
1912949033 |
Last Name Of The Provider |
MCINTYRE |
First Name Of The Provider |
KRISTI |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8220 WALNUT HILL LN |
Street Address 2 Of The Provider |
PROFESSIONAL BLDG II, SUITE 700 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752314427 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
135232 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
5353683 |
Total Medicare Allowed Amount |
1670399.59 |
Total Medicare Payment Amount |
1298658.22 |
Total Medicare Standardized Payment Amount |
1293954.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
54 |
Number Of Drug Services |
128047 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
4298065 |
Total Drug Medicare AllowedAmount |
1365340.27 |
Total Drug Medicare PaymentAmount |
1057949.64 |
Total Drug Medicare Standardized Payment Amount |
1057949.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
7185 |
Number Of Medicare Beneficiaries With Medical Services |
460 |
Total Medical Submitted Charge Amount |
1055618 |
Total Medical Medicare Allowed Amount |
305059.32 |
Total Medical Medicare Payment Amount |
240708.58 |
Total Medical Medicare Standardized Payment Amount |
236004.57 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
82 |
Number Of Non Hispanic White Beneficiaries |
425 |
Number Of Black or African American Beneficiaries |
18 |
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 |
447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
63 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
17 |
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 |
1.2894 |