National Provider Identifier [NPI]: |
1225000797 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
ROY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10012 KENNERLY ROAD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ST LOUIS |
Zip Code Of The Provider |
63128 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
224780 |
Number Of Medicare Beneficiaries |
457 |
Total Submitted Charge Amount |
3700001.5 |
Total Medicare Allowed Amount |
1906596.86 |
Total Medicare Payment Amount |
1478746.89 |
Total Medicare Standardized Payment Amount |
1472635.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
53 |
Number Of Drug Services |
216703 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
2941215.5 |
Total Drug Medicare AllowedAmount |
1572829.95 |
Total Drug Medicare PaymentAmount |
1221885.92 |
Total Drug Medicare Standardized Payment Amount |
1221885.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
8077 |
Number Of Medicare Beneficiaries With Medical Services |
457 |
Total Medical Submitted Charge Amount |
758786 |
Total Medical Medicare Allowed Amount |
333766.91 |
Total Medical Medicare Payment Amount |
256860.97 |
Total Medical Medicare Standardized Payment Amount |
250749.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
439 |
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 |
391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1232 |