National Provider Identifier [NPI]: |
1518948801 |
Last Name Of The Provider |
MCCLURE |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1130 S HICKORY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329011946 |
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 |
175 |
Number Of Services |
94515 |
Number Of Medicare Beneficiaries |
878 |
Total Submitted Charge Amount |
4759953 |
Total Medicare Allowed Amount |
2432292.9 |
Total Medicare Payment Amount |
1895816.11 |
Total Medicare Standardized Payment Amount |
1894941.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
85 |
Number Of Drug Services |
84747 |
Number Of Medicare Beneficiaries With Drug Services |
423 |
Total Drug Submitted ChargeAmount |
3781802 |
Total Drug Medicare AllowedAmount |
1959429.09 |
Total Drug Medicare PaymentAmount |
1526685.71 |
Total Drug Medicare Standardized Payment Amount |
1526685.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
9768 |
Number Of Medicare Beneficiaries With Medical Services |
878 |
Total Medical Submitted Charge Amount |
978151 |
Total Medical Medicare Allowed Amount |
472863.81 |
Total Medical Medicare Payment Amount |
369130.4 |
Total Medical Medicare Standardized Payment Amount |
368256.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
484 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
780 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
782 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.972 |