| National Provider Identifier [NPI]: | 1316920259 |
| Last Name Of The Provider | MCCLEOD |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8931 COLONIAL CENTER DRIVE |
| Street Address 2 Of The Provider | #300 |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339057816 |
| 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 | 198 |
| Number Of Services | 442569 |
| Number Of Medicare Beneficiaries | 1650 |
| Total Submitted Charge Amount | 12894271 |
| Total Medicare Allowed Amount | 5003345.78 |
| Total Medicare Payment Amount | 3938637.78 |
| Total Medicare Standardized Payment Amount | 3887181.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 92 |
| Number Of Drug Services | 413667 |
| Number Of Medicare Beneficiaries With Drug Services | 642 |
| Total Drug Submitted ChargeAmount | 9758266 |
| Total Drug Medicare AllowedAmount | 3799800.55 |
| Total Drug Medicare PaymentAmount | 2975776.38 |
| Total Drug Medicare Standardized Payment Amount | 2975776.38 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 106 |
| Number Of Medical Services | 28902 |
| Number Of Medicare Beneficiaries With Medical Services | 1650 |
| Total Medical Submitted Charge Amount | 3136005 |
| Total Medical Medicare Allowed Amount | 1203545.23 |
| Total Medical Medicare Payment Amount | 962861.4 |
| Total Medical Medicare Standardized Payment Amount | 911405.56 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 191 |
| Number Of Beneficiaries Age 65 to 74 | 683 |
| Number Of Beneficiaries Age 75 to 84 | 582 |
| Number Of Beneficiaries Age Greater 84 | 194 |
| Number Of Female Beneficiaries | 914 |
| Number Of Male Beneficiaries | 736 |
| Number Of Non Hispanic White Beneficiaries | 1427 |
| Number Of Black or African American Beneficiaries | 96 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 100 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1384 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 266 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 45 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.9729 |