National Provider Identifier [NPI]: |
1568660561 |
Last Name Of The Provider |
AKHTAR |
First Name Of The Provider |
VASEEM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1713 HWY 441N |
Street Address 2 Of The Provider |
SUITE #J |
City Of The Provider |
OKEECHOBEE |
Zip Code Of The Provider |
349721900 |
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 |
50 |
Number Of Services |
20906 |
Number Of Medicare Beneficiaries |
296 |
Total Submitted Charge Amount |
350156.05 |
Total Medicare Allowed Amount |
324271.94 |
Total Medicare Payment Amount |
249431.14 |
Total Medicare Standardized Payment Amount |
250027.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
17618 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
45679.81 |
Total Drug Medicare AllowedAmount |
33068.85 |
Total Drug Medicare PaymentAmount |
25918.63 |
Total Drug Medicare Standardized Payment Amount |
25918.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3288 |
Number Of Medicare Beneficiaries With Medical Services |
296 |
Total Medical Submitted Charge Amount |
304476.24 |
Total Medical Medicare Allowed Amount |
291203.09 |
Total Medical Medicare Payment Amount |
223512.51 |
Total Medical Medicare Standardized Payment Amount |
224109.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
263 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
213 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.4243 |