| National Provider Identifier [NPI]: | 1619053998 |
| Last Name Of The Provider | PERCENT |
| First Name Of The Provider | IVOR |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| 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 | 212 |
| Number Of Services | 465258 |
| Number Of Medicare Beneficiaries | 1989 |
| Total Submitted Charge Amount | 13026705 |
| Total Medicare Allowed Amount | 5006450.92 |
| Total Medicare Payment Amount | 3943193.84 |
| Total Medicare Standardized Payment Amount | 3934983.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 96 |
| Number Of Drug Services | 436395 |
| Number Of Medicare Beneficiaries With Drug Services | 822 |
| Total Drug Submitted ChargeAmount | 9830566 |
| Total Drug Medicare AllowedAmount | 3848312.97 |
| Total Drug Medicare PaymentAmount | 3013625.98 |
| Total Drug Medicare Standardized Payment Amount | 3013625.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 116 |
| Number Of Medical Services | 28863 |
| Number Of Medicare Beneficiaries With Medical Services | 1989 |
| Total Medical Submitted Charge Amount | 3196139 |
| Total Medical Medicare Allowed Amount | 1158137.95 |
| Total Medical Medicare Payment Amount | 929567.86 |
| Total Medical Medicare Standardized Payment Amount | 921357.54 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 149 |
| Number Of Beneficiaries Age 65 to 74 | 866 |
| Number Of Beneficiaries Age 75 to 84 | 720 |
| Number Of Beneficiaries Age Greater 84 | 254 |
| Number Of Female Beneficiaries | 1105 |
| Number Of Male Beneficiaries | 884 |
| Number Of Non Hispanic White Beneficiaries | 1867 |
| Number Of Black or African American Beneficiaries | 52 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 33 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1780 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 209 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 42 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.9254 |