National Provider Identifier [NPI]: |
1174533194 |
Last Name Of The Provider |
CHATOOR |
First Name Of The Provider |
HAFEEZ |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2111 W SWANN AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336062477 |
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 |
170 |
Number Of Services |
183151 |
Number Of Medicare Beneficiaries |
903 |
Total Submitted Charge Amount |
5566825 |
Total Medicare Allowed Amount |
2157806.2 |
Total Medicare Payment Amount |
1700081.23 |
Total Medicare Standardized Payment Amount |
1691844.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
166727 |
Number Of Medicare Beneficiaries With Drug Services |
298 |
Total Drug Submitted ChargeAmount |
3931255 |
Total Drug Medicare AllowedAmount |
1544082.11 |
Total Drug Medicare PaymentAmount |
1207007.17 |
Total Drug Medicare Standardized Payment Amount |
1207007.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
16424 |
Number Of Medicare Beneficiaries With Medical Services |
902 |
Total Medical Submitted Charge Amount |
1635570 |
Total Medical Medicare Allowed Amount |
613724.09 |
Total Medical Medicare Payment Amount |
493074.06 |
Total Medical Medicare Standardized Payment Amount |
484837.79 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
343 |
Number Of Beneficiaries Age 75 to 84 |
291 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
583 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
654 |
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
123 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9741 |