National Provider Identifier [NPI]: |
1336225515 |
Last Name Of The Provider |
AMIN |
First Name Of The Provider |
AKSHAY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1205 YORK RD |
Street Address 2 Of The Provider |
SUITE 26 |
City Of The Provider |
LUTHERVILLE |
Zip Code Of The Provider |
210936210 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
4324 |
Number Of Medicare Beneficiaries |
714 |
Total Submitted Charge Amount |
1069860.13 |
Total Medicare Allowed Amount |
427489.33 |
Total Medicare Payment Amount |
326767.25 |
Total Medicare Standardized Payment Amount |
311952.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1216 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
34940.49 |
Total Drug Medicare AllowedAmount |
13977.17 |
Total Drug Medicare PaymentAmount |
10820.63 |
Total Drug Medicare Standardized Payment Amount |
10820.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3108 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
1034919.64 |
Total Medical Medicare Allowed Amount |
413512.16 |
Total Medical Medicare Payment Amount |
315946.62 |
Total Medical Medicare Standardized Payment Amount |
301131.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
346 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
308 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
5.0267 |