National Provider Identifier [NPI]: |
1346227352 |
Last Name Of The Provider |
MERCHANT |
First Name Of The Provider |
NOOR |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13060 US HIGHWAY 1 |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
SEBASTIAN |
Zip Code Of The Provider |
329583771 |
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 |
156 |
Number Of Services |
221099 |
Number Of Medicare Beneficiaries |
1371 |
Total Submitted Charge Amount |
6455757.03 |
Total Medicare Allowed Amount |
4348592.55 |
Total Medicare Payment Amount |
3364113.89 |
Total Medicare Standardized Payment Amount |
3336459.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
78 |
Number Of Drug Services |
203266 |
Number Of Medicare Beneficiaries With Drug Services |
400 |
Total Drug Submitted ChargeAmount |
5339216.03 |
Total Drug Medicare AllowedAmount |
3652561.03 |
Total Drug Medicare PaymentAmount |
2825763.95 |
Total Drug Medicare Standardized Payment Amount |
2825763.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
17833 |
Number Of Medicare Beneficiaries With Medical Services |
1371 |
Total Medical Submitted Charge Amount |
1116541 |
Total Medical Medicare Allowed Amount |
696031.52 |
Total Medical Medicare Payment Amount |
538349.94 |
Total Medical Medicare Standardized Payment Amount |
510695.78 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
495 |
Number Of Beneficiaries Age 75 to 84 |
529 |
Number Of Beneficiaries Age Greater 84 |
255 |
Number Of Female Beneficiaries |
742 |
Number Of Male Beneficiaries |
629 |
Number Of Non Hispanic White Beneficiaries |
1262 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0344 |