National Provider Identifier [NPI]: |
1669464129 |
Last Name Of The Provider |
BELETTE |
First Name Of The Provider |
FRANCISCO |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6405 N FEDERAL HWY |
Street Address 2 Of The Provider |
SUITE 300B |
City Of The Provider |
FT LAUDERDALE |
Zip Code Of The Provider |
333081412 |
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 |
72 |
Number Of Services |
56260 |
Number Of Medicare Beneficiaries |
306 |
Total Submitted Charge Amount |
1254939 |
Total Medicare Allowed Amount |
722764.47 |
Total Medicare Payment Amount |
564662.52 |
Total Medicare Standardized Payment Amount |
553325.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
35 |
Number Of Drug Services |
51137 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
924497 |
Total Drug Medicare AllowedAmount |
500690.05 |
Total Drug Medicare PaymentAmount |
392193.56 |
Total Drug Medicare Standardized Payment Amount |
392193.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5123 |
Number Of Medicare Beneficiaries With Medical Services |
306 |
Total Medical Submitted Charge Amount |
330442 |
Total Medical Medicare Allowed Amount |
222074.42 |
Total Medical Medicare Payment Amount |
172468.96 |
Total Medical Medicare Standardized Payment Amount |
161131.61 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
253 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9552 |