National Provider Identifier [NPI]: |
1184719304 |
Last Name Of The Provider |
BIUCKIANS |
First Name Of The Provider |
ANDRE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
520 UPPER CHESAPEAKE DR |
Street Address 2 Of The Provider |
SUITE 306 |
City Of The Provider |
BEL AIR |
Zip Code Of The Provider |
210144339 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
177 |
Number Of Services |
4205 |
Number Of Medicare Beneficiaries |
1834 |
Total Submitted Charge Amount |
1751110 |
Total Medicare Allowed Amount |
641125.37 |
Total Medicare Payment Amount |
490682.37 |
Total Medicare Standardized Payment Amount |
460619.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
4205 |
Number Of Medicare Beneficiaries With Medical Services |
1834 |
Total Medical Submitted Charge Amount |
1751110 |
Total Medical Medicare Allowed Amount |
641125.37 |
Total Medical Medicare Payment Amount |
490682.37 |
Total Medical Medicare Standardized Payment Amount |
460619.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
618 |
Number Of Beneficiaries Age 75 to 84 |
646 |
Number Of Beneficiaries Age Greater 84 |
353 |
Number Of Female Beneficiaries |
968 |
Number Of Male Beneficiaries |
866 |
Number Of Non Hispanic White Beneficiaries |
1576 |
Number Of Black or African American Beneficiaries |
210 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1602 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.193 |