National Provider Identifier [NPI]: |
1265595060 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 GOODLETTE RD N |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025451 |
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 |
188 |
Number Of Services |
235922 |
Number Of Medicare Beneficiaries |
1566 |
Total Submitted Charge Amount |
11545029 |
Total Medicare Allowed Amount |
4243490.17 |
Total Medicare Payment Amount |
3347418.4 |
Total Medicare Standardized Payment Amount |
3337864.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
203226 |
Number Of Medicare Beneficiaries With Drug Services |
306 |
Total Drug Submitted ChargeAmount |
4504058 |
Total Drug Medicare AllowedAmount |
1828174.04 |
Total Drug Medicare PaymentAmount |
1429656.34 |
Total Drug Medicare Standardized Payment Amount |
1429656.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
32696 |
Number Of Medicare Beneficiaries With Medical Services |
1566 |
Total Medical Submitted Charge Amount |
7040971 |
Total Medical Medicare Allowed Amount |
2415316.13 |
Total Medical Medicare Payment Amount |
1917762.06 |
Total Medical Medicare Standardized Payment Amount |
1908208.4 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
584 |
Number Of Beneficiaries Age 75 to 84 |
685 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
814 |
Number Of Male Beneficiaries |
752 |
Number Of Non Hispanic White Beneficiaries |
1479 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1482 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0251 |