National Provider Identifier [NPI]: |
1659399624 |
Last Name Of The Provider |
OWERA |
First Name Of The Provider |
RAMI |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4724 N DAVIS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325032339 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
78448 |
Number Of Medicare Beneficiaries |
1087 |
Total Submitted Charge Amount |
5305731.54 |
Total Medicare Allowed Amount |
1625386.98 |
Total Medicare Payment Amount |
1256694.61 |
Total Medicare Standardized Payment Amount |
1259810.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
72706 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
3939291.8 |
Total Drug Medicare AllowedAmount |
1165286.19 |
Total Drug Medicare PaymentAmount |
908591.81 |
Total Drug Medicare Standardized Payment Amount |
908591.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
5742 |
Number Of Medicare Beneficiaries With Medical Services |
1087 |
Total Medical Submitted Charge Amount |
1366439.74 |
Total Medical Medicare Allowed Amount |
460100.79 |
Total Medical Medicare Payment Amount |
348102.8 |
Total Medical Medicare Standardized Payment Amount |
351219.07 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
358 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
608 |
Number Of Male Beneficiaries |
479 |
Number Of Non Hispanic White Beneficiaries |
888 |
Number Of Black or African American Beneficiaries |
169 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
892 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9429 |