National Provider Identifier [NPI]: |
1336120336 |
Last Name Of The Provider |
KNIPE |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 5TH AVE NORTH |
Street Address 2 Of The Provider |
SUITE 505 |
City Of The Provider |
ST PETERSBURG |
Zip Code Of The Provider |
337051455 |
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 |
180 |
Number Of Services |
354802 |
Number Of Medicare Beneficiaries |
975 |
Total Submitted Charge Amount |
10534856 |
Total Medicare Allowed Amount |
4132223.12 |
Total Medicare Payment Amount |
3243469.43 |
Total Medicare Standardized Payment Amount |
3234029.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
91 |
Number Of Drug Services |
336318 |
Number Of Medicare Beneficiaries With Drug Services |
497 |
Total Drug Submitted ChargeAmount |
8564044 |
Total Drug Medicare AllowedAmount |
3379664.19 |
Total Drug Medicare PaymentAmount |
2646538.12 |
Total Drug Medicare Standardized Payment Amount |
2646538.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
18484 |
Number Of Medicare Beneficiaries With Medical Services |
975 |
Total Medical Submitted Charge Amount |
1970812 |
Total Medical Medicare Allowed Amount |
752558.93 |
Total Medical Medicare Payment Amount |
596931.31 |
Total Medical Medicare Standardized Payment Amount |
587491.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
615 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
870 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
834 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.0365 |