National Provider Identifier [NPI]: |
1033189246 |
Last Name Of The Provider |
FINK |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3402 W DR MARTIN LUTHER KING JR BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336076214 |
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 |
184 |
Number Of Services |
212039 |
Number Of Medicare Beneficiaries |
1104 |
Total Submitted Charge Amount |
6298589 |
Total Medicare Allowed Amount |
2466421.24 |
Total Medicare Payment Amount |
1916735.12 |
Total Medicare Standardized Payment Amount |
1911768.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
79 |
Number Of Drug Services |
197107 |
Number Of Medicare Beneficiaries With Drug Services |
437 |
Total Drug Submitted ChargeAmount |
4399982 |
Total Drug Medicare AllowedAmount |
1779785.67 |
Total Drug Medicare PaymentAmount |
1372531.52 |
Total Drug Medicare Standardized Payment Amount |
1372531.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
14932 |
Number Of Medicare Beneficiaries With Medical Services |
1103 |
Total Medical Submitted Charge Amount |
1898607 |
Total Medical Medicare Allowed Amount |
686635.57 |
Total Medical Medicare Payment Amount |
544203.6 |
Total Medical Medicare Standardized Payment Amount |
539236.96 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
477 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
651 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
750 |
Number Of Black or African American Beneficiaries |
129 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
193 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
864 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
240 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.2422 |