National Provider Identifier [NPI]: |
1609015528 |
Last Name Of The Provider |
SAFERALI |
First Name Of The Provider |
SHEMIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
917 RINEHART RD STE 2041 |
Street Address 2 Of The Provider |
FLORIDA CANCER SPECIALISTS P L |
City Of The Provider |
LAKE MARY |
Zip Code Of The Provider |
327464806 |
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 |
150 |
Number Of Services |
101792 |
Number Of Medicare Beneficiaries |
485 |
Total Submitted Charge Amount |
2760673 |
Total Medicare Allowed Amount |
1077835.72 |
Total Medicare Payment Amount |
850474.98 |
Total Medicare Standardized Payment Amount |
847154.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
94906 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
2059564 |
Total Drug Medicare AllowedAmount |
806288.47 |
Total Drug Medicare PaymentAmount |
631686.15 |
Total Drug Medicare Standardized Payment Amount |
631686.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
6886 |
Number Of Medicare Beneficiaries With Medical Services |
485 |
Total Medical Submitted Charge Amount |
701109 |
Total Medical Medicare Allowed Amount |
271547.25 |
Total Medical Medicare Payment Amount |
218788.83 |
Total Medical Medicare Standardized Payment Amount |
215467.95 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
360 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
330 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2368 |