National Provider Identifier [NPI]: |
1871574871 |
Last Name Of The Provider |
HO |
First Name Of The Provider |
VU |
Middle Initial Of The Provider |
T |
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 N |
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 |
166 |
Number Of Services |
220268 |
Number Of Medicare Beneficiaries |
768 |
Total Submitted Charge Amount |
4608577 |
Total Medicare Allowed Amount |
1768933.88 |
Total Medicare Payment Amount |
1392010.66 |
Total Medicare Standardized Payment Amount |
1389195.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
78 |
Number Of Drug Services |
208890 |
Number Of Medicare Beneficiaries With Drug Services |
375 |
Total Drug Submitted ChargeAmount |
3573565 |
Total Drug Medicare AllowedAmount |
1374653.51 |
Total Drug Medicare PaymentAmount |
1077035.18 |
Total Drug Medicare Standardized Payment Amount |
1077035.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
11378 |
Number Of Medicare Beneficiaries With Medical Services |
768 |
Total Medical Submitted Charge Amount |
1035012 |
Total Medical Medicare Allowed Amount |
394280.37 |
Total Medical Medicare Payment Amount |
314975.48 |
Total Medical Medicare Standardized Payment Amount |
312160.45 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
493 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
658 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
15 |
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 |
629 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1979 |