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Dr. Gustavo A Fonseca

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NPI Number Detailed Information

Provider Information:

Name: Dr. Gustavo A Fonseca
Gender: M
Provider License Number If Given: ME57124

NPI Information:

NPI: 1063478766
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/22/2006

Last Update Date: 5/2/2022

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 102222 ATTN: CREDENTIALING
Atlanta, GA 30368
Phone Number: 2392748200
Fax Number: 2392783350

Provider Business Practice Location Address:

Address: 521 N LECANTO HWY FLORIDA CANCER SPECIALISTS P L
Lecanto, FL 34461
Phone Number: 3527460707
Fax Number: 3527466333

Provider Taxonomy:

Primary: 207RH0000X
Secondary (if any): 207RX0202X
State: FL

Top Doctors in FL

 

About Dr. Gustavo A Fonseca

Dr. Gustavo A Fonseca (DR. GUSTAVO A FONSECA ) is An Internal Medicine Physician in Lecanto, FL. The NPI Number for Dr. Gustavo A Fonseca is 1063478766.
The current location address for Dr. Gustavo A Fonseca is 521 N LECANTO HWY FLORIDA CANCER SPECIALISTS P L Lecanto, FL 34461 and the contact number is 2392748200 and fax number is 2392783350. The mailing address for Dr. Gustavo A Fonseca is PO BOX 102222 ATTN: CREDENTIALING Atlanta, GA 30368- 3527460707 (mailing address contact number - 2392748200).
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Gustavo A Fonseca ?


Answer: The NPI Number for Dr. Gustavo A Fonseca is 1063478766

Where is Dr. Gustavo A Fonseca located?


Answer: Dr. Gustavo A Fonseca is located at 521 N LECANTO HWY FLORIDA CANCER SPECIALISTS P L Lecanto, FL 34461.

What is the specialty for Dr. Gustavo A Fonseca ?


Answer: The Specialty of Dr. Gustavo A Fonseca is An Internal Medicine Physician.

Are there any online reviews for Dr. Gustavo A Fonseca ?


Answer: Yes! Check It Now.

Are there any other health care providers in Lecanto, FL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Gustavo A Fonseca

Number of HCPCS 207
Number of Medicare Beneficiaries 1064
Number of Services 264981
Total Submitted Charge Amount 15086152.4
Total Medicare Allowed Amount 5685388.47
Total Medicare Payment Amount 4648390.24
Total Medicare Standardized Payment Amount 4562862.58
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 103
Number of Medicare Beneficiaries With Drug Services 428
Number of Drug Services 245163
Total Drug Submitted Charge Amount 12454574.4
Total Drug Medicare Allowed Amount 4693223.59
Total Drug Medicare Payment Amount 3777862.19
Total Drug Medicare Standardized Payment Amount 3702319.94
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 104
Number of Medicare Beneficiaries With Medical 1064
Number of Medical Services 19818
Total Medical Submitted Charge Amount 2631578
Total Medical Medicare Allowed Amount 992164.88
Total Medical Medicare Payment Amount 870528.05
Total Medical Medicare Standardized Payment Amount 860542.64
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 61
Number of Beneficiaries Age 65 to 74 408
Number of Beneficiaries Age 75 to 84 445
Number of Beneficiaries Age Greater 84 150
Number of Female Beneficiaries 637
Number of Male Beneficiaries 427
Number of Non-Hispanic White Beneficiaries 989
Number of Black or African American Beneficiaries 25
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 26
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 104
Number of Beneficiaries With Medicare Only Entitlement 960
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.14
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.39
Percent (%) of Beneficiaries Identified With Heart Failure 0.25
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.57
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.25
Percent (%) of Beneficiaries Identified With Depression 0.32
Percent (%) of Beneficiaries Identified With Diabetes 0.33
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.45
Percent (%) of Beneficiaries Identified With Osteoporosis 0.19
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.44
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.02
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 2.1927

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Hematology-Oncology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 951
Number of Standardized 30-Day Fills 1433.3
Aggregate Cost Paid for All Claims 3047594.27
Number of Day's Supply for All Claims 38834
Number of Medicare Beneficiaries 210
Number of Claims, Including Refills, for Beneficiaries Age 65+ 905
Including Refills, for Beneficiaries Age 65+ 1365.3
Beneficiaries Age 65+ 2941861.44
Number of Day's Supply for All Claims for Beneficaries Age 65+ 36970
Number of Medicare Beneficiaries Age 65+ 193
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 659
Aggregate Cost Paid for Generic Drugs 68333.75
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 328
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1179246.45
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 623
Aggregate Cost Paid for Claims Filled by 1868347.82
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 161
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 428566.15
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 790
by Low-Income Subsidy 2619028.12
Total Claims of Opioid Drugs, Including 93
Aggregate Cost Paid for Opioid Drugs 2755.57
Opioid Claims 34
Opioid_Tot_Clms divided by the Tot_Clms 9.7791798107
Total Claims of Long-Acting Opioid Drugs 26
Aggregate Cost Paid for Long-Acting Opioid 1453.17
Number of Day's Supply of All Long-Acting 747
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 27.956989247
Total Claims of Antibiotic Drugs, Including 16
Aggregate Cost Paid for Antibiotic Drugs 483.27
Antibiotic Claims 14
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 73.295238095
Number of Beneficiaries Age Less Than 65 17
Number of Beneficiaries Age 65 to 74 104
Number of Beneficiaries Age 75 to 84 67
Number of Female Beneficiaries 136
Number of Male Beneficiaries 74
Number of Non-Hispanic White 188
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 16
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 184
Average Hierarchical Condition Category 2.4249373462

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