National Provider Identifier [NPI]: |
1073571949 |
Last Name Of The Provider |
LOBO |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22395 EDGEWATER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339802012 |
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 |
210 |
Number Of Services |
529711 |
Number Of Medicare Beneficiaries |
2364 |
Total Submitted Charge Amount |
15359429 |
Total Medicare Allowed Amount |
5936728.88 |
Total Medicare Payment Amount |
4677288.74 |
Total Medicare Standardized Payment Amount |
4667846.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
96 |
Number Of Drug Services |
491994 |
Number Of Medicare Beneficiaries With Drug Services |
936 |
Total Drug Submitted ChargeAmount |
11005851 |
Total Drug Medicare AllowedAmount |
4368140.12 |
Total Drug Medicare PaymentAmount |
3419662.12 |
Total Drug Medicare Standardized Payment Amount |
3419662.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
37717 |
Number Of Medicare Beneficiaries With Medical Services |
2363 |
Total Medical Submitted Charge Amount |
4353578 |
Total Medical Medicare Allowed Amount |
1568588.76 |
Total Medical Medicare Payment Amount |
1257626.62 |
Total Medical Medicare Standardized Payment Amount |
1248184.51 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
969 |
Number Of Beneficiaries Age 75 to 84 |
857 |
Number Of Beneficiaries Age Greater 84 |
347 |
Number Of Female Beneficiaries |
1289 |
Number Of Male Beneficiaries |
1075 |
Number Of Non Hispanic White Beneficiaries |
2193 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2110 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9911 |