National Provider Identifier [NPI]: |
1841268844 |
Last Name Of The Provider |
PRESTON |
First Name Of The Provider |
ADRIAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10710 CHARTER DR |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
210442858 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3519 |
Number Of Medicare Beneficiaries |
1193 |
Total Submitted Charge Amount |
809454.5 |
Total Medicare Allowed Amount |
275335.95 |
Total Medicare Payment Amount |
205805.7 |
Total Medicare Standardized Payment Amount |
195416.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
746 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
19484.5 |
Total Drug Medicare AllowedAmount |
14593.98 |
Total Drug Medicare PaymentAmount |
11090.01 |
Total Drug Medicare Standardized Payment Amount |
11090.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2773 |
Number Of Medicare Beneficiaries With Medical Services |
1192 |
Total Medical Submitted Charge Amount |
789970 |
Total Medical Medicare Allowed Amount |
260741.97 |
Total Medical Medicare Payment Amount |
194715.69 |
Total Medical Medicare Standardized Payment Amount |
184326.18 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
434 |
Number Of Beneficiaries Age 75 to 84 |
482 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
714 |
Number Of Male Beneficiaries |
479 |
Number Of Non Hispanic White Beneficiaries |
876 |
Number Of Black or African American Beneficiaries |
186 |
Number Of AsianPacific Islander Beneficiaries |
89 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1010 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
183 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5051 |