| National Provider Identifier [NPI]: | 1861448243 |
| Last Name Of The Provider | SWANSON |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1871 SE TIFFANY AVE |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | PORT ST LUCIE |
| Zip Code Of The Provider | 349527585 |
| 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 | 147 |
| Number Of Services | 353626 |
| Number Of Medicare Beneficiaries | 1518 |
| Total Submitted Charge Amount | 8406183.51 |
| Total Medicare Allowed Amount | 4227125.46 |
| Total Medicare Payment Amount | 3313490.32 |
| Total Medicare Standardized Payment Amount | 3287915.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 70 |
| Number Of Drug Services | 331886 |
| Number Of Medicare Beneficiaries With Drug Services | 548 |
| Total Drug Submitted ChargeAmount | 6601168.51 |
| Total Drug Medicare AllowedAmount | 3378287.84 |
| Total Drug Medicare PaymentAmount | 2639148.17 |
| Total Drug Medicare Standardized Payment Amount | 2639148.17 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 77 |
| Number Of Medical Services | 21740 |
| Number Of Medicare Beneficiaries With Medical Services | 1518 |
| Total Medical Submitted Charge Amount | 1805015 |
| Total Medical Medicare Allowed Amount | 848837.62 |
| Total Medical Medicare Payment Amount | 674342.15 |
| Total Medical Medicare Standardized Payment Amount | 648767.63 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 140 |
| Number Of Beneficiaries Age 65 to 74 | 561 |
| Number Of Beneficiaries Age 75 to 84 | 571 |
| Number Of Beneficiaries Age Greater 84 | 246 |
| Number Of Female Beneficiaries | 798 |
| Number Of Male Beneficiaries | 720 |
| Number Of Non Hispanic White Beneficiaries | 1335 |
| Number Of Black or African American Beneficiaries | 101 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1354 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 164 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 40 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 2.1534 |