National Provider Identifier [NPI]: |
1093729287 |
Last Name Of The Provider |
DOUGHNEY |
First Name Of The Provider |
KATHLEEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
325 CLYDE MORRIS BLVD STE 450 |
Street Address 2 Of The Provider |
FLORIDA CANCER SPECIALISTS P L |
City Of The Provider |
ORMOND BEACH |
Zip Code Of The Provider |
321748179 |
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 |
173 |
Number Of Services |
138709 |
Number Of Medicare Beneficiaries |
701 |
Total Submitted Charge Amount |
6164938 |
Total Medicare Allowed Amount |
2403459.03 |
Total Medicare Payment Amount |
1890432.32 |
Total Medicare Standardized Payment Amount |
1883331.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
127054 |
Number Of Medicare Beneficiaries With Drug Services |
251 |
Total Drug Submitted ChargeAmount |
5110196 |
Total Drug Medicare AllowedAmount |
2015641.23 |
Total Drug Medicare PaymentAmount |
1579391.65 |
Total Drug Medicare Standardized Payment Amount |
1579391.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
11655 |
Number Of Medicare Beneficiaries With Medical Services |
700 |
Total Medical Submitted Charge Amount |
1054742 |
Total Medical Medicare Allowed Amount |
387817.8 |
Total Medical Medicare Payment Amount |
311040.67 |
Total Medical Medicare Standardized Payment Amount |
303939.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
444 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
648 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8485 |