National Provider Identifier [NPI]: |
1942297668 |
Last Name Of The Provider |
STONE |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 SHIRCLIFF WAY |
Street Address 2 Of The Provider |
STE 800 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322044732 |
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 |
142 |
Number Of Services |
186124 |
Number Of Medicare Beneficiaries |
955 |
Total Submitted Charge Amount |
8042188 |
Total Medicare Allowed Amount |
2909832.51 |
Total Medicare Payment Amount |
2262941.01 |
Total Medicare Standardized Payment Amount |
2252518.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
171503 |
Number Of Medicare Beneficiaries With Drug Services |
398 |
Total Drug Submitted ChargeAmount |
6942166 |
Total Drug Medicare AllowedAmount |
2450021.03 |
Total Drug Medicare PaymentAmount |
1902104.88 |
Total Drug Medicare Standardized Payment Amount |
1902104.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
14621 |
Number Of Medicare Beneficiaries With Medical Services |
955 |
Total Medical Submitted Charge Amount |
1100022 |
Total Medical Medicare Allowed Amount |
459811.48 |
Total Medical Medicare Payment Amount |
360836.13 |
Total Medical Medicare Standardized Payment Amount |
350413.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
578 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
736 |
Number Of Black or African American Beneficiaries |
185 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
831 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8887 |