National Provider Identifier [NPI]: |
1487645628 |
Last Name Of The Provider |
LUBINER |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
D.O. |
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 |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
208 |
Number Of Services |
365467 |
Number Of Medicare Beneficiaries |
1997 |
Total Submitted Charge Amount |
12144373 |
Total Medicare Allowed Amount |
4765109.94 |
Total Medicare Payment Amount |
3748103.13 |
Total Medicare Standardized Payment Amount |
3736271.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
98 |
Number Of Drug Services |
337474 |
Number Of Medicare Beneficiaries With Drug Services |
851 |
Total Drug Submitted ChargeAmount |
9505843 |
Total Drug Medicare AllowedAmount |
3785530.16 |
Total Drug Medicare PaymentAmount |
2963375.02 |
Total Drug Medicare Standardized Payment Amount |
2963375.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
27993 |
Number Of Medicare Beneficiaries With Medical Services |
1995 |
Total Medical Submitted Charge Amount |
2638530 |
Total Medical Medicare Allowed Amount |
979579.78 |
Total Medical Medicare Payment Amount |
784728.11 |
Total Medical Medicare Standardized Payment Amount |
772896.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
829 |
Number Of Beneficiaries Age 75 to 84 |
744 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
1112 |
Number Of Male Beneficiaries |
885 |
Number Of Non Hispanic White Beneficiaries |
1878 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1796 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9331 |