National Provider Identifier [NPI]: |
1164413589 |
Last Name Of The Provider |
HARWIN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15681 NEW HAMPSHIRE CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339084123 |
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 |
188 |
Number Of Services |
275681 |
Number Of Medicare Beneficiaries |
1178 |
Total Submitted Charge Amount |
10891069 |
Total Medicare Allowed Amount |
4086096.26 |
Total Medicare Payment Amount |
3209381.7 |
Total Medicare Standardized Payment Amount |
3177224.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
86 |
Number Of Drug Services |
254223 |
Number Of Medicare Beneficiaries With Drug Services |
487 |
Total Drug Submitted ChargeAmount |
8439329 |
Total Drug Medicare AllowedAmount |
3140924.51 |
Total Drug Medicare PaymentAmount |
2461194.95 |
Total Drug Medicare Standardized Payment Amount |
2461194.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
21458 |
Number Of Medicare Beneficiaries With Medical Services |
1176 |
Total Medical Submitted Charge Amount |
2451740 |
Total Medical Medicare Allowed Amount |
945171.75 |
Total Medical Medicare Payment Amount |
748186.75 |
Total Medical Medicare Standardized Payment Amount |
716029.12 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
522 |
Number Of Beneficiaries Age 75 to 84 |
434 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
689 |
Number Of Male Beneficiaries |
489 |
Number Of Non Hispanic White Beneficiaries |
1118 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1124 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8773 |