National Provider Identifier [NPI]: |
1982852190 |
Last Name Of The Provider |
KALWAR |
First Name Of The Provider |
TRICIA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1625 SE 3RD AVE |
Street Address 2 Of The Provider |
SUITE 525 |
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
333162521 |
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 |
116 |
Number Of Services |
52907 |
Number Of Medicare Beneficiaries |
565 |
Total Submitted Charge Amount |
1191259 |
Total Medicare Allowed Amount |
624525.97 |
Total Medicare Payment Amount |
491428.85 |
Total Medicare Standardized Payment Amount |
478813.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
45980 |
Number Of Medicare Beneficiaries With Drug Services |
224 |
Total Drug Submitted ChargeAmount |
717484 |
Total Drug Medicare AllowedAmount |
372871.43 |
Total Drug Medicare PaymentAmount |
291703.09 |
Total Drug Medicare Standardized Payment Amount |
291703.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
6927 |
Number Of Medicare Beneficiaries With Medical Services |
565 |
Total Medical Submitted Charge Amount |
473775 |
Total Medical Medicare Allowed Amount |
251654.54 |
Total Medical Medicare Payment Amount |
199725.76 |
Total Medical Medicare Standardized Payment Amount |
187110.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
381 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9618 |