National Provider Identifier [NPI]: |
1669463212 |
Last Name Of The Provider |
MALLARINO |
First Name Of The Provider |
MARIA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1782 OAK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342367537 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
167 |
Number Of Services |
446045 |
Number Of Medicare Beneficiaries |
885 |
Total Submitted Charge Amount |
10636594 |
Total Medicare Allowed Amount |
4216062.7 |
Total Medicare Payment Amount |
3309281.88 |
Total Medicare Standardized Payment Amount |
3301221.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
76 |
Number Of Drug Services |
423865 |
Number Of Medicare Beneficiaries With Drug Services |
457 |
Total Drug Submitted ChargeAmount |
8738646 |
Total Drug Medicare AllowedAmount |
3510122.3 |
Total Drug Medicare PaymentAmount |
2744527.81 |
Total Drug Medicare Standardized Payment Amount |
2744527.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
22180 |
Number Of Medicare Beneficiaries With Medical Services |
885 |
Total Medical Submitted Charge Amount |
1897948 |
Total Medical Medicare Allowed Amount |
705940.4 |
Total Medical Medicare Payment Amount |
564754.07 |
Total Medical Medicare Standardized Payment Amount |
556693.59 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
555 |
Number Of Male Beneficiaries |
330 |
Number Of Non Hispanic White Beneficiaries |
784 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
818 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7135 |