National Provider Identifier [NPI]: |
1881663284 |
Last Name Of The Provider |
BOCCIA |
First Name Of The Provider |
RALPH |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6410 ROCKLEDGE DR |
Street Address 2 Of The Provider |
SUITE 660 |
City Of The Provider |
BETHESDA |
Zip Code Of The Provider |
208171809 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
422123 |
Number Of Medicare Beneficiaries |
710 |
Total Submitted Charge Amount |
11169393.36 |
Total Medicare Allowed Amount |
5176575.76 |
Total Medicare Payment Amount |
4077706.56 |
Total Medicare Standardized Payment Amount |
3976926.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
391157 |
Number Of Medicare Beneficiaries With Drug Services |
392 |
Total Drug Submitted ChargeAmount |
8025108.76 |
Total Drug Medicare AllowedAmount |
3746214.93 |
Total Drug Medicare PaymentAmount |
2937028.51 |
Total Drug Medicare Standardized Payment Amount |
2937028.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
30966 |
Number Of Medicare Beneficiaries With Medical Services |
710 |
Total Medical Submitted Charge Amount |
3144284.6 |
Total Medical Medicare Allowed Amount |
1430360.83 |
Total Medical Medicare Payment Amount |
1140678.05 |
Total Medical Medicare Standardized Payment Amount |
1039898.41 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
411 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
583 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7603 |