| National Provider Identifier [NPI]: | 1730178658 |
| Last Name Of The Provider | MAMUS |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3830 BEE RIDGE RD |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | SARASOTA |
| Zip Code Of The Provider | 342331105 |
| 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 | 176 |
| Number Of Services | 239715 |
| Number Of Medicare Beneficiaries | 4974 |
| Total Submitted Charge Amount | 9108520.54 |
| Total Medicare Allowed Amount | 4353466.56 |
| Total Medicare Payment Amount | 3515912.2 |
| Total Medicare Standardized Payment Amount | 3509499.93 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 71 |
| Number Of Drug Services | 172505 |
| Number Of Medicare Beneficiaries With Drug Services | 421 |
| Total Drug Submitted ChargeAmount | 4515815.18 |
| Total Drug Medicare AllowedAmount | 2144687.07 |
| Total Drug Medicare PaymentAmount | 1680001.55 |
| Total Drug Medicare Standardized Payment Amount | 1680001.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 105 |
| Number Of Medical Services | 67210 |
| Number Of Medicare Beneficiaries With Medical Services | 4974 |
| Total Medical Submitted Charge Amount | 4592705.36 |
| Total Medical Medicare Allowed Amount | 2208779.49 |
| Total Medical Medicare Payment Amount | 1835910.65 |
| Total Medical Medicare Standardized Payment Amount | 1829498.38 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 356 |
| Number Of Beneficiaries Age 65 to 74 | 2037 |
| Number Of Beneficiaries Age 75 to 84 | 1652 |
| Number Of Beneficiaries Age Greater 84 | 929 |
| Number Of Female Beneficiaries | 2951 |
| Number Of Male Beneficiaries | 2023 |
| Number Of Non Hispanic White Beneficiaries | 4654 |
| Number Of Black or African American Beneficiaries | 132 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 94 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 57 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4533 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 441 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3037 |