National Provider Identifier [NPI]: |
1376713727 |
Last Name Of The Provider |
JOOMA |
First Name Of The Provider |
NURUDDIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 PINELLAS ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563312 |
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 |
190 |
Number Of Services |
315242 |
Number Of Medicare Beneficiaries |
963 |
Total Submitted Charge Amount |
7577477 |
Total Medicare Allowed Amount |
2780420.29 |
Total Medicare Payment Amount |
2183280.86 |
Total Medicare Standardized Payment Amount |
2180105.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
87 |
Number Of Drug Services |
301764 |
Number Of Medicare Beneficiaries With Drug Services |
405 |
Total Drug Submitted ChargeAmount |
5757588 |
Total Drug Medicare AllowedAmount |
2112465.17 |
Total Drug Medicare PaymentAmount |
1653492.35 |
Total Drug Medicare Standardized Payment Amount |
1653492.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
13478 |
Number Of Medicare Beneficiaries With Medical Services |
963 |
Total Medical Submitted Charge Amount |
1819889 |
Total Medical Medicare Allowed Amount |
667955.12 |
Total Medical Medicare Payment Amount |
529788.51 |
Total Medical Medicare Standardized Payment Amount |
526613.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
567 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
887 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
799 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2831 |