National Provider Identifier [NPI]: |
1114913258 |
Last Name Of The Provider |
MARQUINEZ |
First Name Of The Provider |
FREDERICK |
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 |
444 N MAIN ST |
Street Address 2 Of The Provider |
SUITE 302 |
City Of The Provider |
AKRON |
Zip Code Of The Provider |
443103110 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
35395 |
Number Of Medicare Beneficiaries |
491 |
Total Submitted Charge Amount |
2048720 |
Total Medicare Allowed Amount |
834181.77 |
Total Medicare Payment Amount |
632296.65 |
Total Medicare Standardized Payment Amount |
637424.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
30785 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
1536691 |
Total Drug Medicare AllowedAmount |
608576.9 |
Total Drug Medicare PaymentAmount |
459014.53 |
Total Drug Medicare Standardized Payment Amount |
459014.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
4610 |
Number Of Medicare Beneficiaries With Medical Services |
490 |
Total Medical Submitted Charge Amount |
512029 |
Total Medical Medicare Allowed Amount |
225604.87 |
Total Medical Medicare Payment Amount |
173282.12 |
Total Medical Medicare Standardized Payment Amount |
178409.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
269 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
415 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.2212 |