National Provider Identifier [NPI]: |
1770792152 |
Last Name Of The Provider |
CASTRELLON |
First Name Of The Provider |
AURELIO |
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 |
603 N FLAMINGO RD |
Street Address 2 Of The Provider |
SUITE 157 |
City Of The Provider |
PEMBROKE PINES |
Zip Code Of The Provider |
330281023 |
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 |
92 |
Number Of Services |
7263 |
Number Of Medicare Beneficiaries |
229 |
Total Submitted Charge Amount |
795329.62 |
Total Medicare Allowed Amount |
226002.59 |
Total Medicare Payment Amount |
168015.7 |
Total Medicare Standardized Payment Amount |
168411.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
35 |
Number Of Drug Services |
5920 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
618693.8 |
Total Drug Medicare AllowedAmount |
168960.79 |
Total Drug Medicare PaymentAmount |
129335.9 |
Total Drug Medicare Standardized Payment Amount |
129335.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1343 |
Number Of Medicare Beneficiaries With Medical Services |
229 |
Total Medical Submitted Charge Amount |
176635.82 |
Total Medical Medicare Allowed Amount |
57041.8 |
Total Medical Medicare Payment Amount |
38679.8 |
Total Medical Medicare Standardized Payment Amount |
39075.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
141 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
60 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7074 |