National Provider Identifier [NPI]: |
1316943491 |
Last Name Of The Provider |
RAYMOND |
First Name Of The Provider |
MARILYN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1309 N FLAGLER DR |
Street Address 2 Of The Provider |
FLORIDA CANCER SPECIALISTS PL |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334013406 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
124016 |
Number Of Medicare Beneficiaries |
699 |
Total Submitted Charge Amount |
4998931 |
Total Medicare Allowed Amount |
1995927.57 |
Total Medicare Payment Amount |
1565687.9 |
Total Medicare Standardized Payment Amount |
1552902.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
115015 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
3739299 |
Total Drug Medicare AllowedAmount |
1521468.38 |
Total Drug Medicare PaymentAmount |
1186930.93 |
Total Drug Medicare Standardized Payment Amount |
1186930.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
9001 |
Number Of Medicare Beneficiaries With Medical Services |
699 |
Total Medical Submitted Charge Amount |
1259632 |
Total Medical Medicare Allowed Amount |
474459.19 |
Total Medical Medicare Payment Amount |
378756.97 |
Total Medical Medicare Standardized Payment Amount |
365971.39 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
542 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
584 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
613 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
63 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8881 |