| National Provider Identifier [NPI]: | 1619959863 |
| Last Name Of The Provider | ZIEGLER |
| First Name Of The Provider | LANE |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7878 BRYAN DAIRY RD |
| Street Address 2 Of The Provider | SUITE 210 |
| City Of The Provider | LARGO |
| Zip Code Of The Provider | 337771251 |
| 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 | 182 |
| Number Of Services | 214560 |
| Number Of Medicare Beneficiaries | 808 |
| Total Submitted Charge Amount | 7343506 |
| Total Medicare Allowed Amount | 2859093.72 |
| Total Medicare Payment Amount | 2239812.8 |
| Total Medicare Standardized Payment Amount | 2238430.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 83 |
| Number Of Drug Services | 201136 |
| Number Of Medicare Beneficiaries With Drug Services | 259 |
| Total Drug Submitted ChargeAmount | 5960491 |
| Total Drug Medicare AllowedAmount | 2338599.99 |
| Total Drug Medicare PaymentAmount | 1827389.08 |
| Total Drug Medicare Standardized Payment Amount | 1827389.08 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 99 |
| Number Of Medical Services | 13424 |
| Number Of Medicare Beneficiaries With Medical Services | 807 |
| Total Medical Submitted Charge Amount | 1383015 |
| Total Medical Medicare Allowed Amount | 520493.73 |
| Total Medical Medicare Payment Amount | 412423.72 |
| Total Medical Medicare Standardized Payment Amount | 411040.97 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 99 |
| Number Of Beneficiaries Age 65 to 74 | 311 |
| Number Of Beneficiaries Age 75 to 84 | 257 |
| Number Of Beneficiaries Age Greater 84 | 141 |
| Number Of Female Beneficiaries | 487 |
| Number Of Male Beneficiaries | 321 |
| Number Of Non Hispanic White Beneficiaries | 734 |
| Number Of Black or African American Beneficiaries | 25 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 653 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 155 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 41 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 2.2121 |