National Provider Identifier [NPI]: |
1023038494 |
Last Name Of The Provider |
SIRPAL |
First Name Of The Provider |
SURENDRA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3450 LANTANA RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAKE WORTH |
Zip Code Of The Provider |
334621329 |
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 |
135 |
Number Of Services |
99851 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
1819937.94 |
Total Medicare Allowed Amount |
999026.82 |
Total Medicare Payment Amount |
788834.41 |
Total Medicare Standardized Payment Amount |
780466.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
91183 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
1307664 |
Total Drug Medicare AllowedAmount |
738669.43 |
Total Drug Medicare PaymentAmount |
578667.32 |
Total Drug Medicare Standardized Payment Amount |
578667.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
8668 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
512273.94 |
Total Medical Medicare Allowed Amount |
260357.39 |
Total Medical Medicare Payment Amount |
210167.09 |
Total Medical Medicare Standardized Payment Amount |
201798.97 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
219 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
266 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
259 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9636 |