National Provider Identifier [NPI]: |
1497726137 |
Last Name Of The Provider |
BECDACH |
First Name Of The Provider |
SAMMY |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1107 14TH AVE SE |
Street Address 2 Of The Provider |
PLAZA II SUITE 200 |
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
356013309 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
201 |
Number Of Services |
859464 |
Number Of Medicare Beneficiaries |
1018 |
Total Submitted Charge Amount |
19941869 |
Total Medicare Allowed Amount |
9173563.61 |
Total Medicare Payment Amount |
7093094.99 |
Total Medicare Standardized Payment Amount |
7152908.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
106 |
Number Of Drug Services |
792427 |
Number Of Medicare Beneficiaries With Drug Services |
719 |
Total Drug Submitted ChargeAmount |
16881912.5 |
Total Drug Medicare AllowedAmount |
7736306.12 |
Total Drug Medicare PaymentAmount |
5961709.07 |
Total Drug Medicare Standardized Payment Amount |
5961709.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
67037 |
Number Of Medicare Beneficiaries With Medical Services |
1017 |
Total Medical Submitted Charge Amount |
3059956.5 |
Total Medical Medicare Allowed Amount |
1437257.49 |
Total Medical Medicare Payment Amount |
1131385.92 |
Total Medical Medicare Standardized Payment Amount |
1191199.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
642 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
913 |
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 |
829 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8265 |