National Provider Identifier [NPI]: |
1770548679 |
Last Name Of The Provider |
IYENGAR |
First Name Of The Provider |
VASUNDHARA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 N US HIGHWAY 441 |
Street Address 2 Of The Provider |
STE 552 |
City Of The Provider |
LADY LAKE |
Zip Code Of The Provider |
321598975 |
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 |
203 |
Number Of Services |
361052 |
Number Of Medicare Beneficiaries |
1627 |
Total Submitted Charge Amount |
9818277 |
Total Medicare Allowed Amount |
4023134.89 |
Total Medicare Payment Amount |
3161878.16 |
Total Medicare Standardized Payment Amount |
3156116.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
106 |
Number Of Drug Services |
323035 |
Number Of Medicare Beneficiaries With Drug Services |
663 |
Total Drug Submitted ChargeAmount |
7250554 |
Total Drug Medicare AllowedAmount |
3055747.04 |
Total Drug Medicare PaymentAmount |
2383066.49 |
Total Drug Medicare Standardized Payment Amount |
2383066.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
38017 |
Number Of Medicare Beneficiaries With Medical Services |
1627 |
Total Medical Submitted Charge Amount |
2567723 |
Total Medical Medicare Allowed Amount |
967387.85 |
Total Medical Medicare Payment Amount |
778811.67 |
Total Medical Medicare Standardized Payment Amount |
773049.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
700 |
Number Of Beneficiaries Age 75 to 84 |
589 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
925 |
Number Of Male Beneficiaries |
702 |
Number Of Non Hispanic White Beneficiaries |
1426 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1436 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1572 |