National Provider Identifier [NPI]: |
1053315648 |
Last Name Of The Provider |
RAO |
First Name Of The Provider |
RAJU |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14529 CORTEZ BLVD |
Street Address 2 Of The Provider |
FLORIDA CANCER SPECIALISTS P L |
City Of The Provider |
BROOKSVILLE |
Zip Code Of The Provider |
346136065 |
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 |
162 |
Number Of Services |
184911 |
Number Of Medicare Beneficiaries |
670 |
Total Submitted Charge Amount |
5826245.33 |
Total Medicare Allowed Amount |
2338683.07 |
Total Medicare Payment Amount |
1837570.39 |
Total Medicare Standardized Payment Amount |
1835778.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
169179 |
Number Of Medicare Beneficiaries With Drug Services |
244 |
Total Drug Submitted ChargeAmount |
4288532 |
Total Drug Medicare AllowedAmount |
1756272.51 |
Total Drug Medicare PaymentAmount |
1374565.28 |
Total Drug Medicare Standardized Payment Amount |
1374565.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
15732 |
Number Of Medicare Beneficiaries With Medical Services |
670 |
Total Medical Submitted Charge Amount |
1537713.33 |
Total Medical Medicare Allowed Amount |
582410.56 |
Total Medical Medicare Payment Amount |
463005.11 |
Total Medical Medicare Standardized Payment Amount |
461212.95 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
297 |
Number Of Non Hispanic White Beneficiaries |
605 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
608 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1544 |