National Provider Identifier [NPI]: |
1386649606 |
Last Name Of The Provider |
HUNGER |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 SHIRCLIFF WAY |
Street Address 2 Of The Provider |
STE 800 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322044751 |
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 |
145 |
Number Of Services |
115725 |
Number Of Medicare Beneficiaries |
942 |
Total Submitted Charge Amount |
5373609 |
Total Medicare Allowed Amount |
2057419.76 |
Total Medicare Payment Amount |
1595547.12 |
Total Medicare Standardized Payment Amount |
1587218.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
77 |
Number Of Drug Services |
105479 |
Number Of Medicare Beneficiaries With Drug Services |
321 |
Total Drug Submitted ChargeAmount |
4549953 |
Total Drug Medicare AllowedAmount |
1693814.13 |
Total Drug Medicare PaymentAmount |
1308151.37 |
Total Drug Medicare Standardized Payment Amount |
1308151.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
10246 |
Number Of Medicare Beneficiaries With Medical Services |
942 |
Total Medical Submitted Charge Amount |
823656 |
Total Medical Medicare Allowed Amount |
363605.63 |
Total Medical Medicare Payment Amount |
287395.75 |
Total Medical Medicare Standardized Payment Amount |
279067.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
370 |
Number Of Beneficiaries Age 75 to 84 |
325 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
556 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
707 |
Number Of Black or African American Beneficiaries |
207 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
767 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9683 |