National Provider Identifier [NPI]: |
1205851797 |
Last Name Of The Provider |
ARIAS |
First Name Of The Provider |
MAYDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5700 N FEDERAL HWY |
Street Address 2 Of The Provider |
SUITE 5 |
City Of The Provider |
FT LAUDERDALE |
Zip Code Of The Provider |
333082600 |
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 |
116 |
Number Of Services |
78244 |
Number Of Medicare Beneficiaries |
505 |
Total Submitted Charge Amount |
1501545 |
Total Medicare Allowed Amount |
754886.77 |
Total Medicare Payment Amount |
595476.16 |
Total Medicare Standardized Payment Amount |
584674.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
70433 |
Number Of Medicare Beneficiaries With Drug Services |
136 |
Total Drug Submitted ChargeAmount |
980330 |
Total Drug Medicare AllowedAmount |
505241.1 |
Total Drug Medicare PaymentAmount |
395625.06 |
Total Drug Medicare Standardized Payment Amount |
395625.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
7811 |
Number Of Medicare Beneficiaries With Medical Services |
505 |
Total Medical Submitted Charge Amount |
521215 |
Total Medical Medicare Allowed Amount |
249645.67 |
Total Medical Medicare Payment Amount |
199851.1 |
Total Medical Medicare Standardized Payment Amount |
189049.14 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
392 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
397 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1467 |