National Provider Identifier [NPI]: |
1861445421 |
Last Name Of The Provider |
ACS |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1147 NW 64TH TER |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054218 |
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 |
201 |
Number Of Services |
453497 |
Number Of Medicare Beneficiaries |
1086 |
Total Submitted Charge Amount |
17225276.83 |
Total Medicare Allowed Amount |
6759958.14 |
Total Medicare Payment Amount |
5316592.69 |
Total Medicare Standardized Payment Amount |
5309936.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
90 |
Number Of Drug Services |
425570 |
Number Of Medicare Beneficiaries With Drug Services |
529 |
Total Drug Submitted ChargeAmount |
13301086 |
Total Drug Medicare AllowedAmount |
5357743.2 |
Total Drug Medicare PaymentAmount |
4195776.14 |
Total Drug Medicare Standardized Payment Amount |
4195776.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
27927 |
Number Of Medicare Beneficiaries With Medical Services |
1085 |
Total Medical Submitted Charge Amount |
3924190.83 |
Total Medical Medicare Allowed Amount |
1402214.94 |
Total Medical Medicare Payment Amount |
1120816.55 |
Total Medical Medicare Standardized Payment Amount |
1114160.01 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
687 |
Number Of Male Beneficiaries |
399 |
Number Of Non Hispanic White Beneficiaries |
911 |
Number Of Black or African American Beneficiaries |
132 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
890 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8563 |