National Provider Identifier [NPI]: |
1699838979 |
Last Name Of The Provider |
GROSSMAN |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
S |
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 |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
196 |
Number Of Services |
302166 |
Number Of Medicare Beneficiaries |
1671 |
Total Submitted Charge Amount |
13259168 |
Total Medicare Allowed Amount |
5073424.01 |
Total Medicare Payment Amount |
3971722.61 |
Total Medicare Standardized Payment Amount |
3956074.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
78 |
Number Of Drug Services |
277174 |
Number Of Medicare Beneficiaries With Drug Services |
326 |
Total Drug Submitted ChargeAmount |
7511949 |
Total Drug Medicare AllowedAmount |
3059782.49 |
Total Drug Medicare PaymentAmount |
2385032.08 |
Total Drug Medicare Standardized Payment Amount |
2385032.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
24992 |
Number Of Medicare Beneficiaries With Medical Services |
1671 |
Total Medical Submitted Charge Amount |
5747219 |
Total Medical Medicare Allowed Amount |
2013641.52 |
Total Medical Medicare Payment Amount |
1586690.53 |
Total Medical Medicare Standardized Payment Amount |
1571042.49 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
699 |
Number Of Beneficiaries Age 75 to 84 |
688 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
863 |
Number Of Male Beneficiaries |
808 |
Number Of Non Hispanic White Beneficiaries |
1574 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1579 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0043 |