National Provider Identifier [NPI]: |
1548360803 |
Last Name Of The Provider |
MERCIER |
First Name Of The Provider |
RICHARD |
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 |
1000 N OAK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARSHFIELD |
Zip Code Of The Provider |
54449 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
53269 |
Number Of Medicare Beneficiaries |
437 |
Total Submitted Charge Amount |
2537134.6 |
Total Medicare Allowed Amount |
1203011.04 |
Total Medicare Payment Amount |
905685.69 |
Total Medicare Standardized Payment Amount |
911248.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
50649 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
1934283.35 |
Total Drug Medicare AllowedAmount |
1032710.81 |
Total Drug Medicare PaymentAmount |
778327.05 |
Total Drug Medicare Standardized Payment Amount |
778327.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
2620 |
Number Of Medicare Beneficiaries With Medical Services |
437 |
Total Medical Submitted Charge Amount |
602851.25 |
Total Medical Medicare Allowed Amount |
170300.23 |
Total Medical Medicare Payment Amount |
127358.64 |
Total Medical Medicare Standardized Payment Amount |
132921.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
423 |
Number Of Black or African American Beneficiaries |
|
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 |
340 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
2.0691 |