National Provider Identifier [NPI]: |
1053318766 |
Last Name Of The Provider |
UNGER |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
792 COLLEGE PKWY |
Street Address 2 Of The Provider |
SUITE 207 |
City Of The Provider |
COLCHESTER |
Zip Code Of The Provider |
054463052 |
State Code Of The Provider |
VT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
60381 |
Number Of Medicare Beneficiaries |
506 |
Total Submitted Charge Amount |
3568483.35 |
Total Medicare Allowed Amount |
1939018.2 |
Total Medicare Payment Amount |
1517888.61 |
Total Medicare Standardized Payment Amount |
1510588.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
50542 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
2545928.85 |
Total Drug Medicare AllowedAmount |
1479471 |
Total Drug Medicare PaymentAmount |
1159355.86 |
Total Drug Medicare Standardized Payment Amount |
1159355.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
9839 |
Number Of Medicare Beneficiaries With Medical Services |
506 |
Total Medical Submitted Charge Amount |
1022554.5 |
Total Medical Medicare Allowed Amount |
459547.2 |
Total Medical Medicare Payment Amount |
358532.75 |
Total Medical Medicare Standardized Payment Amount |
351232.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
493 |
Number Of Black or African American Beneficiaries |
|
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 |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4436 |