National Provider Identifier [NPI]: |
1588622419 |
Last Name Of The Provider |
ZEHNGEBOT |
First Name Of The Provider |
LEE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 N ORANGE AVE |
Street Address 2 Of The Provider |
SUITE 381 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328044623 |
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 |
140 |
Number Of Services |
389489 |
Number Of Medicare Beneficiaries |
1229 |
Total Submitted Charge Amount |
10098922 |
Total Medicare Allowed Amount |
5210169.4 |
Total Medicare Payment Amount |
4052362.25 |
Total Medicare Standardized Payment Amount |
4050094.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
74 |
Number Of Drug Services |
361274 |
Number Of Medicare Beneficiaries With Drug Services |
335 |
Total Drug Submitted ChargeAmount |
8112409 |
Total Drug Medicare AllowedAmount |
4275347.55 |
Total Drug Medicare PaymentAmount |
3309474.81 |
Total Drug Medicare Standardized Payment Amount |
3309474.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
28215 |
Number Of Medicare Beneficiaries With Medical Services |
1229 |
Total Medical Submitted Charge Amount |
1986513 |
Total Medical Medicare Allowed Amount |
934821.85 |
Total Medical Medicare Payment Amount |
742887.44 |
Total Medical Medicare Standardized Payment Amount |
740619.34 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
506 |
Number Of Beneficiaries Age 75 to 84 |
430 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
681 |
Number Of Male Beneficiaries |
548 |
Number Of Non Hispanic White Beneficiaries |
1094 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1146 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8141 |