National Provider Identifier [NPI]: |
1891729786 |
Last Name Of The Provider |
REYES |
First Name Of The Provider |
PABLO |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 N US HIGHWAY 441 |
Street Address 2 Of The Provider |
SUITE 924 |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321598975 |
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 |
167 |
Number Of Services |
408690 |
Number Of Medicare Beneficiaries |
1428 |
Total Submitted Charge Amount |
6382835.14 |
Total Medicare Allowed Amount |
3273518.47 |
Total Medicare Payment Amount |
2566424.69 |
Total Medicare Standardized Payment Amount |
2564431.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
77 |
Number Of Drug Services |
391407 |
Number Of Medicare Beneficiaries With Drug Services |
476 |
Total Drug Submitted ChargeAmount |
5051343 |
Total Drug Medicare AllowedAmount |
2576101.45 |
Total Drug Medicare PaymentAmount |
2016857.71 |
Total Drug Medicare Standardized Payment Amount |
2016857.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
17283 |
Number Of Medicare Beneficiaries With Medical Services |
1428 |
Total Medical Submitted Charge Amount |
1331492.14 |
Total Medical Medicare Allowed Amount |
697417.02 |
Total Medical Medicare Payment Amount |
549566.98 |
Total Medical Medicare Standardized Payment Amount |
547573.53 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
633 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
800 |
Number Of Male Beneficiaries |
628 |
Number Of Non Hispanic White Beneficiaries |
1342 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0163 |