National Provider Identifier [NPI]: |
1356332506 |
Last Name Of The Provider |
HUSSEIN |
First Name Of The Provider |
MAEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 NORTH BOULEVARD EAST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347485241 |
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 |
224 |
Number Of Services |
636308 |
Number Of Medicare Beneficiaries |
2512 |
Total Submitted Charge Amount |
22473315 |
Total Medicare Allowed Amount |
8356637.94 |
Total Medicare Payment Amount |
6578380.61 |
Total Medicare Standardized Payment Amount |
6564817.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
106 |
Number Of Drug Services |
572115 |
Number Of Medicare Beneficiaries With Drug Services |
866 |
Total Drug Submitted ChargeAmount |
17018415 |
Total Drug Medicare AllowedAmount |
6369765.43 |
Total Drug Medicare PaymentAmount |
4980165.43 |
Total Drug Medicare Standardized Payment Amount |
4980165.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
64193 |
Number Of Medicare Beneficiaries With Medical Services |
2512 |
Total Medical Submitted Charge Amount |
5454900 |
Total Medical Medicare Allowed Amount |
1986872.51 |
Total Medical Medicare Payment Amount |
1598215.18 |
Total Medical Medicare Standardized Payment Amount |
1584652.49 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
1030 |
Number Of Beneficiaries Age 75 to 84 |
959 |
Number Of Beneficiaries Age Greater 84 |
318 |
Number Of Female Beneficiaries |
1473 |
Number Of Male Beneficiaries |
1039 |
Number Of Non Hispanic White Beneficiaries |
2327 |
Number Of Black or African American Beneficiaries |
114 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
334 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.971 |