National Provider Identifier [NPI]: |
1245268838 |
Last Name Of The Provider |
VINARSKY |
First Name Of The Provider |
SIMON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1223 GATEWAY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329012607 |
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 |
95720 |
Number Of Medicare Beneficiaries |
885 |
Total Submitted Charge Amount |
4596897.86 |
Total Medicare Allowed Amount |
2363922.95 |
Total Medicare Payment Amount |
1837248.75 |
Total Medicare Standardized Payment Amount |
1837207.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
86 |
Number Of Drug Services |
87858 |
Number Of Medicare Beneficiaries With Drug Services |
436 |
Total Drug Submitted ChargeAmount |
3754599.8 |
Total Drug Medicare AllowedAmount |
1968058.17 |
Total Drug Medicare PaymentAmount |
1529246.97 |
Total Drug Medicare Standardized Payment Amount |
1529246.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
7862 |
Number Of Medicare Beneficiaries With Medical Services |
885 |
Total Medical Submitted Charge Amount |
842298.06 |
Total Medical Medicare Allowed Amount |
395864.78 |
Total Medical Medicare Payment Amount |
308001.78 |
Total Medical Medicare Standardized Payment Amount |
307960.66 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
502 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
778 |
Number Of Black or African American Beneficiaries |
58 |
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 |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0596 |