| National Provider Identifier [NPI]: | 1518940246 |
| Last Name Of The Provider | MAUN |
| First Name Of The Provider | NOEL |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD, PHD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 836 SUNSET LAKE BLVD |
| Street Address 2 Of The Provider | SUITE #101 |
| City Of The Provider | VENICE |
| Zip Code Of The Provider | 342927554 |
| 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 | 201 |
| Number Of Services | 417540 |
| Number Of Medicare Beneficiaries | 1639 |
| Total Submitted Charge Amount | 13582245 |
| Total Medicare Allowed Amount | 4945673.59 |
| Total Medicare Payment Amount | 3889379.12 |
| Total Medicare Standardized Payment Amount | 3901708.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 85 |
| Number Of Drug Services | 389301 |
| Number Of Medicare Beneficiaries With Drug Services | 587 |
| Total Drug Submitted ChargeAmount | 9333790 |
| Total Drug Medicare AllowedAmount | 3516929.54 |
| Total Drug Medicare PaymentAmount | 2755512.13 |
| Total Drug Medicare Standardized Payment Amount | 2755512.13 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 116 |
| Number Of Medical Services | 28239 |
| Number Of Medicare Beneficiaries With Medical Services | 1639 |
| Total Medical Submitted Charge Amount | 4248455 |
| Total Medical Medicare Allowed Amount | 1428744.05 |
| Total Medical Medicare Payment Amount | 1133866.99 |
| Total Medical Medicare Standardized Payment Amount | 1146196.57 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 75 |
| Number Of Beneficiaries Age 65 to 74 | 644 |
| Number Of Beneficiaries Age 75 to 84 | 644 |
| Number Of Beneficiaries Age Greater 84 | 276 |
| Number Of Female Beneficiaries | 866 |
| Number Of Male Beneficiaries | 773 |
| Number Of Non Hispanic White Beneficiaries | 1600 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 14 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1565 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 74 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 43 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.9656 |