National Provider Identifier [NPI]: |
1942243332 |
Last Name Of The Provider |
REID |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2002 MEDICAL PKWY |
Street Address 2 Of The Provider |
#450 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214013046 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
10655 |
Number Of Medicare Beneficiaries |
1353 |
Total Submitted Charge Amount |
2039613.5 |
Total Medicare Allowed Amount |
1191937.15 |
Total Medicare Payment Amount |
895899.74 |
Total Medicare Standardized Payment Amount |
844672.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2875 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
311938.5 |
Total Drug Medicare AllowedAmount |
248322.17 |
Total Drug Medicare PaymentAmount |
192080.58 |
Total Drug Medicare Standardized Payment Amount |
192080.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
7780 |
Number Of Medicare Beneficiaries With Medical Services |
1353 |
Total Medical Submitted Charge Amount |
1727675 |
Total Medical Medicare Allowed Amount |
943614.98 |
Total Medical Medicare Payment Amount |
703819.16 |
Total Medical Medicare Standardized Payment Amount |
652591.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
571 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
833 |
Number Of Male Beneficiaries |
520 |
Number Of Non Hispanic White Beneficiaries |
1031 |
Number Of Black or African American Beneficiaries |
231 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2503 |