National Provider Identifier [NPI]: |
1295752830 |
Last Name Of The Provider |
NAUGHTON |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4921 PARKVIEW PL |
Street Address 2 Of The Provider |
7TH FLOOR |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631101032 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
155 |
Number Of Services |
104350 |
Number Of Medicare Beneficiaries |
819 |
Total Submitted Charge Amount |
4709483 |
Total Medicare Allowed Amount |
1771955.72 |
Total Medicare Payment Amount |
1369448.28 |
Total Medicare Standardized Payment Amount |
1367246.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
95 |
Number Of Drug Services |
99965 |
Number Of Medicare Beneficiaries With Drug Services |
286 |
Total Drug Submitted ChargeAmount |
3960782 |
Total Drug Medicare AllowedAmount |
1512435.11 |
Total Drug Medicare PaymentAmount |
1177250.24 |
Total Drug Medicare Standardized Payment Amount |
1177250.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4385 |
Number Of Medicare Beneficiaries With Medical Services |
819 |
Total Medical Submitted Charge Amount |
748701 |
Total Medical Medicare Allowed Amount |
259520.61 |
Total Medical Medicare Payment Amount |
192198.04 |
Total Medical Medicare Standardized Payment Amount |
189996.64 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
599 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
714 |
Number Of Black or African American Beneficiaries |
81 |
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 |
706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
72 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.8795 |