National Provider Identifier [NPI]: |
1003031212 |
Last Name Of The Provider |
KAYALI |
First Name Of The Provider |
FADI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 N CATTLEMEN RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326422 |
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 |
165 |
Number Of Services |
277070 |
Number Of Medicare Beneficiaries |
790 |
Total Submitted Charge Amount |
7765855 |
Total Medicare Allowed Amount |
2889492.06 |
Total Medicare Payment Amount |
2275173.49 |
Total Medicare Standardized Payment Amount |
2266098.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
74 |
Number Of Drug Services |
259859 |
Number Of Medicare Beneficiaries With Drug Services |
375 |
Total Drug Submitted ChargeAmount |
6210481 |
Total Drug Medicare AllowedAmount |
2316674.78 |
Total Drug Medicare PaymentAmount |
1811404.57 |
Total Drug Medicare Standardized Payment Amount |
1811404.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
17211 |
Number Of Medicare Beneficiaries With Medical Services |
790 |
Total Medical Submitted Charge Amount |
1555374 |
Total Medical Medicare Allowed Amount |
572817.28 |
Total Medical Medicare Payment Amount |
463768.92 |
Total Medical Medicare Standardized Payment Amount |
454693.52 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
413 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
719 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
704 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9691 |