National Provider Identifier [NPI]: |
1770549115 |
Last Name Of The Provider |
AMBINDER |
First Name Of The Provider |
ROY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4100 WATERMAN WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAVARES |
Zip Code Of The Provider |
327785270 |
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 |
191 |
Number Of Services |
412565 |
Number Of Medicare Beneficiaries |
1212 |
Total Submitted Charge Amount |
11094355 |
Total Medicare Allowed Amount |
4351404.46 |
Total Medicare Payment Amount |
3421124.68 |
Total Medicare Standardized Payment Amount |
3418203.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
88 |
Number Of Drug Services |
375827 |
Number Of Medicare Beneficiaries With Drug Services |
512 |
Total Drug Submitted ChargeAmount |
8057334 |
Total Drug Medicare AllowedAmount |
3230687.58 |
Total Drug Medicare PaymentAmount |
2518299.26 |
Total Drug Medicare Standardized Payment Amount |
2518299.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
36738 |
Number Of Medicare Beneficiaries With Medical Services |
1211 |
Total Medical Submitted Charge Amount |
3037021 |
Total Medical Medicare Allowed Amount |
1120716.88 |
Total Medical Medicare Payment Amount |
902825.42 |
Total Medical Medicare Standardized Payment Amount |
899903.95 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
467 |
Number Of Beneficiaries Age 75 to 84 |
409 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
705 |
Number Of Male Beneficiaries |
507 |
Number Of Non Hispanic White Beneficiaries |
1010 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1028 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9927 |