National Provider Identifier [NPI]: |
1811931587 |
Last Name Of The Provider |
DELIZIO |
First Name Of The Provider |
PASQUALE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5400 KELL WEST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA FALLS |
Zip Code Of The Provider |
76310 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
296331 |
Number Of Medicare Beneficiaries |
788 |
Total Submitted Charge Amount |
9794118 |
Total Medicare Allowed Amount |
2903970.46 |
Total Medicare Payment Amount |
2277923.15 |
Total Medicare Standardized Payment Amount |
2299864.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
74 |
Number Of Drug Services |
277110 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
7595267 |
Total Drug Medicare AllowedAmount |
2296582.92 |
Total Drug Medicare PaymentAmount |
1794335.96 |
Total Drug Medicare Standardized Payment Amount |
1794335.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
19221 |
Number Of Medicare Beneficiaries With Medical Services |
788 |
Total Medical Submitted Charge Amount |
2198851 |
Total Medical Medicare Allowed Amount |
607387.54 |
Total Medical Medicare Payment Amount |
483587.19 |
Total Medical Medicare Standardized Payment Amount |
505528.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
286 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
700 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
656 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7751 |