National Provider Identifier [NPI]: |
1346235975 |
Last Name Of The Provider |
GORDAN |
First Name Of The Provider |
LUCIO |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1147 NW 64TH TER |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054218 |
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 |
212 |
Number Of Services |
386993 |
Number Of Medicare Beneficiaries |
1165 |
Total Submitted Charge Amount |
12591541 |
Total Medicare Allowed Amount |
4452129.49 |
Total Medicare Payment Amount |
3509467.55 |
Total Medicare Standardized Payment Amount |
3493080.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
93 |
Number Of Drug Services |
353741 |
Number Of Medicare Beneficiaries With Drug Services |
491 |
Total Drug Submitted ChargeAmount |
8392630 |
Total Drug Medicare AllowedAmount |
2975179.06 |
Total Drug Medicare PaymentAmount |
2317691.19 |
Total Drug Medicare Standardized Payment Amount |
2317691.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
33252 |
Number Of Medicare Beneficiaries With Medical Services |
1164 |
Total Medical Submitted Charge Amount |
4198911 |
Total Medical Medicare Allowed Amount |
1476950.43 |
Total Medical Medicare Payment Amount |
1191776.36 |
Total Medical Medicare Standardized Payment Amount |
1175388.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
484 |
Number Of Beneficiaries Age 75 to 84 |
409 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
702 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
992 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
974 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7905 |