National Provider Identifier [NPI]: |
1295718815 |
Last Name Of The Provider |
MOSKOWITZ |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6360 PINE RIDGE RD |
Street Address 2 Of The Provider |
SUITE #201 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341193907 |
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 |
190 |
Number Of Services |
371147 |
Number Of Medicare Beneficiaries |
1106 |
Total Submitted Charge Amount |
9595932 |
Total Medicare Allowed Amount |
3745757.9 |
Total Medicare Payment Amount |
2931006.65 |
Total Medicare Standardized Payment Amount |
2899250.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
89 |
Number Of Drug Services |
350804 |
Number Of Medicare Beneficiaries With Drug Services |
524 |
Total Drug Submitted ChargeAmount |
7780527 |
Total Drug Medicare AllowedAmount |
3034581.59 |
Total Drug Medicare PaymentAmount |
2367776.02 |
Total Drug Medicare Standardized Payment Amount |
2367776.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
20343 |
Number Of Medicare Beneficiaries With Medical Services |
1105 |
Total Medical Submitted Charge Amount |
1815405 |
Total Medical Medicare Allowed Amount |
711176.31 |
Total Medical Medicare Payment Amount |
563230.63 |
Total Medical Medicare Standardized Payment Amount |
531474.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
463 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
600 |
Number Of Male Beneficiaries |
506 |
Number Of Non Hispanic White Beneficiaries |
1012 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1032 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9692 |