National Provider Identifier [NPI]: |
1548429681 |
Last Name Of The Provider |
IYENGAR |
First Name Of The Provider |
MEERA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
70 W GORE ST |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328061124 |
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 |
111 |
Number Of Services |
22702 |
Number Of Medicare Beneficiaries |
296 |
Total Submitted Charge Amount |
513008 |
Total Medicare Allowed Amount |
211946.85 |
Total Medicare Payment Amount |
167240.33 |
Total Medicare Standardized Payment Amount |
166678.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
42 |
Number Of Drug Services |
21129 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
310888 |
Total Drug Medicare AllowedAmount |
130573.97 |
Total Drug Medicare PaymentAmount |
102353.99 |
Total Drug Medicare Standardized Payment Amount |
102353.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
1573 |
Number Of Medicare Beneficiaries With Medical Services |
296 |
Total Medical Submitted Charge Amount |
202120 |
Total Medical Medicare Allowed Amount |
81372.88 |
Total Medical Medicare Payment Amount |
64886.34 |
Total Medical Medicare Standardized Payment Amount |
64324.4 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
213 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.3885 |