National Provider Identifier [NPI]: |
1235170473 |
Last Name Of The Provider |
MCHAM |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 S 68TH STREET PL |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685102496 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
232 |
Number Of Services |
249691 |
Number Of Medicare Beneficiaries |
1721 |
Total Submitted Charge Amount |
8431099 |
Total Medicare Allowed Amount |
3108732.08 |
Total Medicare Payment Amount |
2424828.86 |
Total Medicare Standardized Payment Amount |
2490914.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
85 |
Number Of Drug Services |
232847 |
Number Of Medicare Beneficiaries With Drug Services |
624 |
Total Drug Submitted ChargeAmount |
5923457 |
Total Drug Medicare AllowedAmount |
2260391.61 |
Total Drug Medicare PaymentAmount |
1758891.76 |
Total Drug Medicare Standardized Payment Amount |
1758891.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
16844 |
Number Of Medicare Beneficiaries With Medical Services |
1718 |
Total Medical Submitted Charge Amount |
2507642 |
Total Medical Medicare Allowed Amount |
848340.47 |
Total Medical Medicare Payment Amount |
665937.1 |
Total Medical Medicare Standardized Payment Amount |
732022.55 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
786 |
Number Of Beneficiaries Age 75 to 84 |
568 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
1074 |
Number Of Male Beneficiaries |
647 |
Number Of Non Hispanic White Beneficiaries |
1469 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
138 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8924 |