| National Provider Identifier [NPI]: | 1629023080 |
| Last Name Of The Provider | MARTE |
| First Name Of The Provider | IDELFIA |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3280 N MCMULLEN BOOTH RD |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 337612029 |
| 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 | 195 |
| Number Of Services | 333849 |
| Number Of Medicare Beneficiaries | 930 |
| Total Submitted Charge Amount | 8261133 |
| Total Medicare Allowed Amount | 3327086.77 |
| Total Medicare Payment Amount | 2624383.59 |
| Total Medicare Standardized Payment Amount | 2624590.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 77 |
| Number Of Drug Services | 307983 |
| Number Of Medicare Beneficiaries With Drug Services | 398 |
| Total Drug Submitted ChargeAmount | 5480144 |
| Total Drug Medicare AllowedAmount | 2286600.26 |
| Total Drug Medicare PaymentAmount | 1789408.87 |
| Total Drug Medicare Standardized Payment Amount | 1789408.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 118 |
| Number Of Medical Services | 25866 |
| Number Of Medicare Beneficiaries With Medical Services | 930 |
| Total Medical Submitted Charge Amount | 2780989 |
| Total Medical Medicare Allowed Amount | 1040486.51 |
| Total Medical Medicare Payment Amount | 834974.72 |
| Total Medical Medicare Standardized Payment Amount | 835181.16 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 74 |
| Number Of Beneficiaries Age 65 to 74 | 348 |
| Number Of Beneficiaries Age 75 to 84 | 335 |
| Number Of Beneficiaries Age Greater 84 | 173 |
| Number Of Female Beneficiaries | 603 |
| Number Of Male Beneficiaries | 327 |
| Number Of Non Hispanic White Beneficiaries | 870 |
| Number Of Black or African American Beneficiaries | 21 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 838 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 92 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 46 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 2.0531 |