National Provider Identifier [NPI]: |
1982653713 |
Last Name Of The Provider |
NAIR |
First Name Of The Provider |
SANTOSH |
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 |
2776 ENTERPRISE ROAD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ORANGE CITY |
Zip Code Of The Provider |
327638316 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
126 |
Number Of Services |
105754 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
3750356.82 |
Total Medicare Allowed Amount |
1561145.65 |
Total Medicare Payment Amount |
1228356.36 |
Total Medicare Standardized Payment Amount |
1226530.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
94279 |
Number Of Medicare Beneficiaries With Drug Services |
178 |
Total Drug Submitted ChargeAmount |
2032281.68 |
Total Drug Medicare AllowedAmount |
901422.42 |
Total Drug Medicare PaymentAmount |
705802.72 |
Total Drug Medicare Standardized Payment Amount |
705802.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
11475 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
1718075.14 |
Total Medical Medicare Allowed Amount |
659723.23 |
Total Medical Medicare Payment Amount |
522553.64 |
Total Medical Medicare Standardized Payment Amount |
520727.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
343 |
Number Of Male Beneficiaries |
268 |
Number Of Non Hispanic White Beneficiaries |
512 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
480 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.2676 |