National Provider Identifier [NPI]: |
1356301733 |
Last Name Of The Provider |
CARADONNA |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11373 CORTEZ BLVD |
Street Address 2 Of The Provider |
SUITES 200 |
City Of The Provider |
BROOKSVILLE |
Zip Code Of The Provider |
346135414 |
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 |
138 |
Number Of Services |
781014 |
Number Of Medicare Beneficiaries |
349 |
Total Submitted Charge Amount |
20861914.5 |
Total Medicare Allowed Amount |
5639733.85 |
Total Medicare Payment Amount |
4431641.55 |
Total Medicare Standardized Payment Amount |
4399924.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
750209 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
17018563 |
Total Drug Medicare AllowedAmount |
4628735.56 |
Total Drug Medicare PaymentAmount |
3622046.04 |
Total Drug Medicare Standardized Payment Amount |
3622046.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
30805 |
Number Of Medicare Beneficiaries With Medical Services |
349 |
Total Medical Submitted Charge Amount |
3843351.5 |
Total Medical Medicare Allowed Amount |
1010998.29 |
Total Medical Medicare Payment Amount |
809595.51 |
Total Medical Medicare Standardized Payment Amount |
777878.64 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
187 |
Number Of Male Beneficiaries |
162 |
Number Of Non Hispanic White Beneficiaries |
320 |
Number Of Black or African American Beneficiaries |
14 |
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 |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.109 |