National Provider Identifier [NPI]: |
1649275124 |
Last Name Of The Provider |
SLEASE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4701 OGLETOWN STANTON RD |
Street Address 2 Of The Provider |
STE 4200 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197132055 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
34567 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
1446667.36 |
Total Medicare Allowed Amount |
847070.93 |
Total Medicare Payment Amount |
658634.55 |
Total Medicare Standardized Payment Amount |
653230.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
32442 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
1064718.44 |
Total Drug Medicare AllowedAmount |
671749.54 |
Total Drug Medicare PaymentAmount |
526212.4 |
Total Drug Medicare Standardized Payment Amount |
526212.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2125 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
381948.92 |
Total Medical Medicare Allowed Amount |
175321.39 |
Total Medical Medicare Payment Amount |
132422.15 |
Total Medical Medicare Standardized Payment Amount |
127017.72 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
178 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
298 |
Number Of Black or African American Beneficiaries |
62 |
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 |
336 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0186 |