National Provider Identifier [NPI]: |
1023082112 |
Last Name Of The Provider |
RASKIN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8395 WEST OAKLAND PARK BLVD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
SUNRISE |
Zip Code Of The Provider |
33351 |
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 |
67 |
Number Of Services |
70257 |
Number Of Medicare Beneficiaries |
284 |
Total Submitted Charge Amount |
1070111 |
Total Medicare Allowed Amount |
731897.01 |
Total Medicare Payment Amount |
570514.95 |
Total Medicare Standardized Payment Amount |
561041.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
28 |
Number Of Drug Services |
64561 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
607676 |
Total Drug Medicare AllowedAmount |
405466.76 |
Total Drug Medicare PaymentAmount |
317605.3 |
Total Drug Medicare Standardized Payment Amount |
317605.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
5696 |
Number Of Medicare Beneficiaries With Medical Services |
284 |
Total Medical Submitted Charge Amount |
462435 |
Total Medical Medicare Allowed Amount |
326430.25 |
Total Medical Medicare Payment Amount |
252909.65 |
Total Medical Medicare Standardized Payment Amount |
243436.68 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
199 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
177 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.3213 |