National Provider Identifier [NPI]: |
1023051000 |
Last Name Of The Provider |
NOGA |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2401 W BELVEDERE AVENUE |
Street Address 2 Of The Provider |
LAPIDUS CANCER INSTITUTE |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
21215 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
14661 |
Number Of Medicare Beneficiaries |
423 |
Total Submitted Charge Amount |
653213 |
Total Medicare Allowed Amount |
373855.74 |
Total Medicare Payment Amount |
289841.66 |
Total Medicare Standardized Payment Amount |
283982.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
40 |
Number Of Drug Services |
12855 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
431005 |
Total Drug Medicare AllowedAmount |
248322.33 |
Total Drug Medicare PaymentAmount |
194352.16 |
Total Drug Medicare Standardized Payment Amount |
194352.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1806 |
Number Of Medicare Beneficiaries With Medical Services |
423 |
Total Medical Submitted Charge Amount |
222208 |
Total Medical Medicare Allowed Amount |
125533.41 |
Total Medical Medicare Payment Amount |
95489.5 |
Total Medical Medicare Standardized Payment Amount |
89630.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
355 |
Number Of Black or African American Beneficiaries |
52 |
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 |
364 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.014 |