National Provider Identifier [NPI]: |
1184631491 |
Last Name Of The Provider |
DRESDNER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1099 5TH AVE NORTH |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
ST PETERSBURG |
Zip Code Of The Provider |
33705 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
980590 |
Number Of Medicare Beneficiaries |
620 |
Total Submitted Charge Amount |
10332469.18 |
Total Medicare Allowed Amount |
5712101.63 |
Total Medicare Payment Amount |
4460997.73 |
Total Medicare Standardized Payment Amount |
4434100.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
954685 |
Number Of Medicare Beneficiaries With Drug Services |
338 |
Total Drug Submitted ChargeAmount |
8672664.78 |
Total Drug Medicare AllowedAmount |
4857397.59 |
Total Drug Medicare PaymentAmount |
3795463.34 |
Total Drug Medicare Standardized Payment Amount |
3795463.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
25905 |
Number Of Medicare Beneficiaries With Medical Services |
620 |
Total Medical Submitted Charge Amount |
1659804.4 |
Total Medical Medicare Allowed Amount |
854704.04 |
Total Medical Medicare Payment Amount |
665534.39 |
Total Medical Medicare Standardized Payment Amount |
638636.83 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
394 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
501 |
Number Of Black or African American Beneficiaries |
95 |
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 |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0805 |