National Provider Identifier [NPI]: |
1174571699 |
Last Name Of The Provider |
SCHIFF |
First Name Of The Provider |
RON |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3238 COVE BEND DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336132752 |
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 |
101 |
Number Of Services |
12668 |
Number Of Medicare Beneficiaries |
198 |
Total Submitted Charge Amount |
800286 |
Total Medicare Allowed Amount |
315718.2 |
Total Medicare Payment Amount |
237183.31 |
Total Medicare Standardized Payment Amount |
238808.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
27 |
Number Of Drug Services |
8645 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
498347 |
Total Drug Medicare AllowedAmount |
200933.3 |
Total Drug Medicare PaymentAmount |
146398.07 |
Total Drug Medicare Standardized Payment Amount |
146398.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
4023 |
Number Of Medicare Beneficiaries With Medical Services |
198 |
Total Medical Submitted Charge Amount |
301939 |
Total Medical Medicare Allowed Amount |
114784.9 |
Total Medical Medicare Payment Amount |
90785.24 |
Total Medical Medicare Standardized Payment Amount |
92410.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8136 |