| National Provider Identifier [NPI]: | 1033192570 |
| Last Name Of The Provider | RUBIN |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9776 BONITA BEACH RD SE |
| Street Address 2 Of The Provider | #201A |
| City Of The Provider | BONITA SPRINGS |
| Zip Code Of The Provider | 341354773 |
| 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 | 209 |
| Number Of Services | 380190 |
| Number Of Medicare Beneficiaries | 1747 |
| Total Submitted Charge Amount | 13749375 |
| Total Medicare Allowed Amount | 5169014.12 |
| Total Medicare Payment Amount | 4065395.95 |
| Total Medicare Standardized Payment Amount | 4011691.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 94 |
| Number Of Drug Services | 348607 |
| Number Of Medicare Beneficiaries With Drug Services | 633 |
| Total Drug Submitted ChargeAmount | 10915849 |
| Total Drug Medicare AllowedAmount | 4084652.35 |
| Total Drug Medicare PaymentAmount | 3196059.47 |
| Total Drug Medicare Standardized Payment Amount | 3196059.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 115 |
| Number Of Medical Services | 31583 |
| Number Of Medicare Beneficiaries With Medical Services | 1746 |
| Total Medical Submitted Charge Amount | 2833526 |
| Total Medical Medicare Allowed Amount | 1084361.77 |
| Total Medical Medicare Payment Amount | 869336.48 |
| Total Medical Medicare Standardized Payment Amount | 815632.37 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 52 |
| Number Of Beneficiaries Age 65 to 74 | 762 |
| Number Of Beneficiaries Age 75 to 84 | 716 |
| Number Of Beneficiaries Age Greater 84 | 217 |
| Number Of Female Beneficiaries | 957 |
| Number Of Male Beneficiaries | 790 |
| Number Of Non Hispanic White Beneficiaries | 1680 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 30 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1707 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 40 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 52 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.8076 |