National Provider Identifier [NPI]: |
1235168238 |
Last Name Of The Provider |
LEMKE |
First Name Of The Provider |
SHEILA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
750 E ADAMS ST |
Street Address 2 Of The Provider |
REGIONAL ONCOLOGY CENTER |
City Of The Provider |
SYRACUSE |
Zip Code Of The Provider |
132102306 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
10389 |
Number Of Medicare Beneficiaries |
399 |
Total Submitted Charge Amount |
523518.7 |
Total Medicare Allowed Amount |
268960.76 |
Total Medicare Payment Amount |
204293.59 |
Total Medicare Standardized Payment Amount |
208447.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
42 |
Number Of Drug Services |
9084 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
290432.7 |
Total Drug Medicare AllowedAmount |
155145.31 |
Total Drug Medicare PaymentAmount |
121625.21 |
Total Drug Medicare Standardized Payment Amount |
121625.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1305 |
Number Of Medicare Beneficiaries With Medical Services |
399 |
Total Medical Submitted Charge Amount |
233086 |
Total Medical Medicare Allowed Amount |
113815.45 |
Total Medical Medicare Payment Amount |
82668.38 |
Total Medical Medicare Standardized Payment Amount |
86822.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
353 |
Number Of Black or African American Beneficiaries |
32 |
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 |
303 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
63 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8202 |