National Provider Identifier [NPI]: |
1972508356 |
Last Name Of The Provider |
BADARINATH |
First Name Of The Provider |
SUPRITH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 SHIRCLIFF WAY |
Street Address 2 Of The Provider |
STE 800 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322044751 |
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 |
169 |
Number Of Services |
171068.5 |
Number Of Medicare Beneficiaries |
1207 |
Total Submitted Charge Amount |
8337706 |
Total Medicare Allowed Amount |
3200202.64 |
Total Medicare Payment Amount |
2480958.16 |
Total Medicare Standardized Payment Amount |
2480476.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
81 |
Number Of Drug Services |
158519.5 |
Number Of Medicare Beneficiaries With Drug Services |
500 |
Total Drug Submitted ChargeAmount |
6047675 |
Total Drug Medicare AllowedAmount |
2179416.93 |
Total Drug Medicare PaymentAmount |
1687814.61 |
Total Drug Medicare Standardized Payment Amount |
1687814.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
12549 |
Number Of Medicare Beneficiaries With Medical Services |
1204 |
Total Medical Submitted Charge Amount |
2290031 |
Total Medical Medicare Allowed Amount |
1020785.71 |
Total Medical Medicare Payment Amount |
793143.55 |
Total Medical Medicare Standardized Payment Amount |
792662.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
167 |
Number Of Beneficiaries Age 65 to 74 |
483 |
Number Of Beneficiaries Age 75 to 84 |
402 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
709 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
946 |
Number Of Black or African American Beneficiaries |
221 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
999 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.0188 |