National Provider Identifier [NPI]: |
1144203928 |
Last Name Of The Provider |
ORMAN |
First Name Of The Provider |
STEPHEN |
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 |
836 SUNSET LAKE BLVD |
Street Address 2 Of The Provider |
SUITE #101 |
City Of The Provider |
VENICE |
Zip Code Of The Provider |
342927554 |
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 |
204 |
Number Of Services |
334513 |
Number Of Medicare Beneficiaries |
1148 |
Total Submitted Charge Amount |
11274277 |
Total Medicare Allowed Amount |
4183371.8 |
Total Medicare Payment Amount |
3281188.37 |
Total Medicare Standardized Payment Amount |
3271171.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
96 |
Number Of Drug Services |
314463 |
Number Of Medicare Beneficiaries With Drug Services |
512 |
Total Drug Submitted ChargeAmount |
9243425 |
Total Drug Medicare AllowedAmount |
3446216.99 |
Total Drug Medicare PaymentAmount |
2694686.88 |
Total Drug Medicare Standardized Payment Amount |
2694686.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
20050 |
Number Of Medicare Beneficiaries With Medical Services |
1148 |
Total Medical Submitted Charge Amount |
2030852 |
Total Medical Medicare Allowed Amount |
737154.81 |
Total Medical Medicare Payment Amount |
586501.49 |
Total Medical Medicare Standardized Payment Amount |
576484.22 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
470 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
630 |
Number Of Male Beneficiaries |
518 |
Number Of Non Hispanic White Beneficiaries |
1124 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1098 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9009 |