National Provider Identifier [NPI]: |
1295726933 |
Last Name Of The Provider |
GONTER |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
836 SUNSET LAKE BLVD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
VENICE |
Zip Code Of The Provider |
342927554 |
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 |
196 |
Number Of Services |
326753 |
Number Of Medicare Beneficiaries |
1724 |
Total Submitted Charge Amount |
11230919 |
Total Medicare Allowed Amount |
4396049.27 |
Total Medicare Payment Amount |
3432865.09 |
Total Medicare Standardized Payment Amount |
3431387.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
86 |
Number Of Drug Services |
304128 |
Number Of Medicare Beneficiaries With Drug Services |
720 |
Total Drug Submitted ChargeAmount |
8243718 |
Total Drug Medicare AllowedAmount |
3329104.12 |
Total Drug Medicare PaymentAmount |
2588285.43 |
Total Drug Medicare Standardized Payment Amount |
2588285.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
22625 |
Number Of Medicare Beneficiaries With Medical Services |
1724 |
Total Medical Submitted Charge Amount |
2987201 |
Total Medical Medicare Allowed Amount |
1066945.15 |
Total Medical Medicare Payment Amount |
844579.66 |
Total Medical Medicare Standardized Payment Amount |
843102.18 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
620 |
Number Of Beneficiaries Age 75 to 84 |
695 |
Number Of Beneficiaries Age Greater 84 |
325 |
Number Of Female Beneficiaries |
922 |
Number Of Male Beneficiaries |
802 |
Number Of Non Hispanic White Beneficiaries |
1672 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9815 |