National Provider Identifier [NPI]: |
1699755116 |
Last Name Of The Provider |
DANG |
First Name Of The Provider |
SURRINDER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 CCI DR NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358052606 |
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 |
196 |
Number Of Services |
478961 |
Number Of Medicare Beneficiaries |
1277 |
Total Submitted Charge Amount |
14525716.5 |
Total Medicare Allowed Amount |
6153693.23 |
Total Medicare Payment Amount |
4654717.71 |
Total Medicare Standardized Payment Amount |
4696977.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
93 |
Number Of Drug Services |
445595 |
Number Of Medicare Beneficiaries With Drug Services |
503 |
Total Drug Submitted ChargeAmount |
12237771.5 |
Total Drug Medicare AllowedAmount |
5085990.9 |
Total Drug Medicare PaymentAmount |
3802786.07 |
Total Drug Medicare Standardized Payment Amount |
3802786.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
33366 |
Number Of Medicare Beneficiaries With Medical Services |
1277 |
Total Medical Submitted Charge Amount |
2287945 |
Total Medical Medicare Allowed Amount |
1067702.33 |
Total Medical Medicare Payment Amount |
851931.64 |
Total Medical Medicare Standardized Payment Amount |
894191.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
545 |
Number Of Beneficiaries Age 75 to 84 |
431 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
736 |
Number Of Male Beneficiaries |
541 |
Number Of Non Hispanic White Beneficiaries |
1093 |
Number Of Black or African American Beneficiaries |
150 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1080 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7909 |