National Provider Identifier [NPI]: |
1063491439 |
Last Name Of The Provider |
SCALZO |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5008 BRITTONFIELD PKWY |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
EAST SYRACUSE |
Zip Code Of The Provider |
130579248 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
185 |
Number Of Services |
147333 |
Number Of Medicare Beneficiaries |
1212 |
Total Submitted Charge Amount |
6035075.09 |
Total Medicare Allowed Amount |
2199553.99 |
Total Medicare Payment Amount |
1726058.03 |
Total Medicare Standardized Payment Amount |
1736474.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
82 |
Number Of Drug Services |
135820 |
Number Of Medicare Beneficiaries With Drug Services |
479 |
Total Drug Submitted ChargeAmount |
4809105.75 |
Total Drug Medicare AllowedAmount |
1749492.34 |
Total Drug Medicare PaymentAmount |
1368629.61 |
Total Drug Medicare Standardized Payment Amount |
1368629.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
11513 |
Number Of Medicare Beneficiaries With Medical Services |
1212 |
Total Medical Submitted Charge Amount |
1225969.34 |
Total Medical Medicare Allowed Amount |
450061.65 |
Total Medical Medicare Payment Amount |
357428.42 |
Total Medical Medicare Standardized Payment Amount |
367844.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
415 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
754 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
1124 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1119 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7975 |