National Provider Identifier [NPI]: |
1861456089 |
Last Name Of The Provider |
SPRAWLS |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
490 N WASHINGTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TITUSVILLE |
Zip Code Of The Provider |
327962871 |
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 |
175 |
Number Of Services |
165465 |
Number Of Medicare Beneficiaries |
1066 |
Total Submitted Charge Amount |
9220502.5 |
Total Medicare Allowed Amount |
2430192.5 |
Total Medicare Payment Amount |
1889635.42 |
Total Medicare Standardized Payment Amount |
1890190.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
152185 |
Number Of Medicare Beneficiaries With Drug Services |
413 |
Total Drug Submitted ChargeAmount |
7071607.5 |
Total Drug Medicare AllowedAmount |
1849965.66 |
Total Drug Medicare PaymentAmount |
1434325.19 |
Total Drug Medicare Standardized Payment Amount |
1434325.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
13280 |
Number Of Medicare Beneficiaries With Medical Services |
1066 |
Total Medical Submitted Charge Amount |
2148895 |
Total Medical Medicare Allowed Amount |
580226.84 |
Total Medical Medicare Payment Amount |
455310.23 |
Total Medical Medicare Standardized Payment Amount |
455864.93 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
421 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
553 |
Number Of Male Beneficiaries |
513 |
Number Of Non Hispanic White Beneficiaries |
960 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
930 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1644 |