National Provider Identifier [NPI]: |
1962408849 |
Last Name Of The Provider |
KULKARNI |
First Name Of The Provider |
GAJANAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5802 STATE ROAD 54 |
Street Address 2 Of The Provider |
FLORIDA CANCER SPECIALISTS P L |
City Of The Provider |
NEW PORT RICHEY |
Zip Code Of The Provider |
346526050 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
160681 |
Number Of Medicare Beneficiaries |
663 |
Total Submitted Charge Amount |
6014136 |
Total Medicare Allowed Amount |
2330084.2 |
Total Medicare Payment Amount |
1838511.91 |
Total Medicare Standardized Payment Amount |
1830564.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
143429 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
4711751 |
Total Drug Medicare AllowedAmount |
1847935.06 |
Total Drug Medicare PaymentAmount |
1447316.07 |
Total Drug Medicare Standardized Payment Amount |
1447316.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
17252 |
Number Of Medicare Beneficiaries With Medical Services |
663 |
Total Medical Submitted Charge Amount |
1302385 |
Total Medical Medicare Allowed Amount |
482149.14 |
Total Medical Medicare Payment Amount |
391195.84 |
Total Medical Medicare Standardized Payment Amount |
383247.94 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
273 |
Number Of Non Hispanic White Beneficiaries |
632 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
557 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.2294 |