National Provider Identifier [NPI]: |
1245221993 |
Last Name Of The Provider |
HART |
First Name Of The Provider |
LOWELL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8931 COLONIAL CENTER DR |
Street Address 2 Of The Provider |
#300 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339057809 |
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 |
193 |
Number Of Services |
439128 |
Number Of Medicare Beneficiaries |
1474 |
Total Submitted Charge Amount |
16218031.61 |
Total Medicare Allowed Amount |
6240847.4 |
Total Medicare Payment Amount |
4900852.63 |
Total Medicare Standardized Payment Amount |
4849232.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
95 |
Number Of Drug Services |
407620 |
Number Of Medicare Beneficiaries With Drug Services |
606 |
Total Drug Submitted ChargeAmount |
12967339.61 |
Total Drug Medicare AllowedAmount |
5002683.33 |
Total Drug Medicare PaymentAmount |
3905706.66 |
Total Drug Medicare Standardized Payment Amount |
3905706.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
31508 |
Number Of Medicare Beneficiaries With Medical Services |
1473 |
Total Medical Submitted Charge Amount |
3250692 |
Total Medical Medicare Allowed Amount |
1238164.07 |
Total Medical Medicare Payment Amount |
995145.97 |
Total Medical Medicare Standardized Payment Amount |
943526.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
635 |
Number Of Beneficiaries Age 75 to 84 |
529 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
861 |
Number Of Male Beneficiaries |
613 |
Number Of Non Hispanic White Beneficiaries |
1279 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1280 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0214 |