National Provider Identifier [NPI]: |
1922014547 |
Last Name Of The Provider |
MELO |
First Name Of The Provider |
JOSE |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
260 SW 84TH AVE |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
PLANTATION |
Zip Code Of The Provider |
333242715 |
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 |
100 |
Number Of Services |
186175 |
Number Of Medicare Beneficiaries |
782 |
Total Submitted Charge Amount |
9368709 |
Total Medicare Allowed Amount |
2908898.45 |
Total Medicare Payment Amount |
2256562.23 |
Total Medicare Standardized Payment Amount |
2235582.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
175523 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
7706053 |
Total Drug Medicare AllowedAmount |
2360607.62 |
Total Drug Medicare PaymentAmount |
1834836.03 |
Total Drug Medicare Standardized Payment Amount |
1834836.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
10652 |
Number Of Medicare Beneficiaries With Medical Services |
782 |
Total Medical Submitted Charge Amount |
1662656 |
Total Medical Medicare Allowed Amount |
548290.83 |
Total Medical Medicare Payment Amount |
421726.2 |
Total Medical Medicare Standardized Payment Amount |
400746.45 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
249 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
560 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
99 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
625 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0344 |