| National Provider Identifier [NPI]: | 1215953526 |
| Last Name Of The Provider | BLINDER |
| First Name Of The Provider | MOREY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4921 PARKVIEW PL |
| Street Address 2 Of The Provider | 7TH FLOOR |
| City Of The Provider | SAINT LOUIS |
| Zip Code Of The Provider | 631101032 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 129 |
| Number Of Services | 56611 |
| Number Of Medicare Beneficiaries | 4575 |
| Total Submitted Charge Amount | 3504643 |
| Total Medicare Allowed Amount | 1064626.58 |
| Total Medicare Payment Amount | 846004.03 |
| Total Medicare Standardized Payment Amount | 848374.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 73 |
| Number Of Drug Services | 31283 |
| Number Of Medicare Beneficiaries With Drug Services | 210 |
| Total Drug Submitted ChargeAmount | 1744028 |
| Total Drug Medicare AllowedAmount | 676998.49 |
| Total Drug Medicare PaymentAmount | 507392.2 |
| Total Drug Medicare Standardized Payment Amount | 507392.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 56 |
| Number Of Medical Services | 25328 |
| Number Of Medicare Beneficiaries With Medical Services | 4575 |
| Total Medical Submitted Charge Amount | 1760615 |
| Total Medical Medicare Allowed Amount | 387628.09 |
| Total Medical Medicare Payment Amount | 338611.83 |
| Total Medical Medicare Standardized Payment Amount | 340982.76 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 1195 |
| Number Of Beneficiaries Age 65 to 74 | 2117 |
| Number Of Beneficiaries Age 75 to 84 | 1043 |
| Number Of Beneficiaries Age Greater 84 | 220 |
| Number Of Female Beneficiaries | 2428 |
| Number Of Male Beneficiaries | 2147 |
| Number Of Non Hispanic White Beneficiaries | 3491 |
| Number Of Black or African American Beneficiaries | 926 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 44 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 69 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3603 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 972 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 38 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 42 |
| Percent Of With Hypertension | 60 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 2.1267 |