National Provider Identifier [NPI]: |
1780687608 |
Last Name Of The Provider |
NAKFOOR |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 GOODLETTE RD N |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025445 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
75904 |
Number Of Medicare Beneficiaries |
1679 |
Total Submitted Charge Amount |
18374767.07 |
Total Medicare Allowed Amount |
5304595.89 |
Total Medicare Payment Amount |
4138830.86 |
Total Medicare Standardized Payment Amount |
3961407.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
56681 |
Number Of Medicare Beneficiaries With Drug Services |
472 |
Total Drug Submitted ChargeAmount |
27773.69 |
Total Drug Medicare AllowedAmount |
11004.18 |
Total Drug Medicare PaymentAmount |
8588.77 |
Total Drug Medicare Standardized Payment Amount |
8588.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
19223 |
Number Of Medicare Beneficiaries With Medical Services |
1679 |
Total Medical Submitted Charge Amount |
18346993.38 |
Total Medical Medicare Allowed Amount |
5293591.71 |
Total Medical Medicare Payment Amount |
4130242.09 |
Total Medical Medicare Standardized Payment Amount |
3952818.78 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
706 |
Number Of Beneficiaries Age 75 to 84 |
688 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
597 |
Number Of Male Beneficiaries |
1082 |
Number Of Non Hispanic White Beneficiaries |
1582 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1590 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
56 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3358 |