National Provider Identifier [NPI]: |
1801869235 |
Last Name Of The Provider |
EICHLER |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2604 ST. MICHAEL DR |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
TEXARKANA |
Zip Code Of The Provider |
75503 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
91949 |
Number Of Medicare Beneficiaries |
764 |
Total Submitted Charge Amount |
1751925.48 |
Total Medicare Allowed Amount |
1723221.09 |
Total Medicare Payment Amount |
1364764.82 |
Total Medicare Standardized Payment Amount |
1377234.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
49 |
Number Of Drug Services |
74513 |
Number Of Medicare Beneficiaries With Drug Services |
370 |
Total Drug Submitted ChargeAmount |
1287863.5 |
Total Drug Medicare AllowedAmount |
1277795.68 |
Total Drug Medicare PaymentAmount |
1002321.12 |
Total Drug Medicare Standardized Payment Amount |
1002321.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
17436 |
Number Of Medicare Beneficiaries With Medical Services |
764 |
Total Medical Submitted Charge Amount |
464061.98 |
Total Medical Medicare Allowed Amount |
445425.41 |
Total Medical Medicare Payment Amount |
362443.7 |
Total Medical Medicare Standardized Payment Amount |
374913.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
493 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
604 |
Number Of Black or African American Beneficiaries |
147 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
606 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
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 |
28 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5961 |