National Provider Identifier [NPI]: |
1699711671 |
Last Name Of The Provider |
ROWEDDER |
First Name Of The Provider |
ANTHONY |
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 |
400 W 7TH ST |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
FREDERICK |
Zip Code Of The Provider |
217014506 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
217 |
Number Of Services |
9964 |
Number Of Medicare Beneficiaries |
4175 |
Total Submitted Charge Amount |
1230110.02 |
Total Medicare Allowed Amount |
528914.05 |
Total Medicare Payment Amount |
410191.96 |
Total Medicare Standardized Payment Amount |
404407.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
233 |
Number Of Medicare Beneficiaries With Drug Services |
218 |
Total Drug Submitted ChargeAmount |
3153.47 |
Total Drug Medicare AllowedAmount |
101.92 |
Total Drug Medicare PaymentAmount |
79.77 |
Total Drug Medicare Standardized Payment Amount |
79.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
214 |
Number Of Medical Services |
9731 |
Number Of Medicare Beneficiaries With Medical Services |
4175 |
Total Medical Submitted Charge Amount |
1226956.55 |
Total Medical Medicare Allowed Amount |
528812.13 |
Total Medical Medicare Payment Amount |
410112.19 |
Total Medical Medicare Standardized Payment Amount |
404327.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
532 |
Number Of Beneficiaries Age 65 to 74 |
1621 |
Number Of Beneficiaries Age 75 to 84 |
1292 |
Number Of Beneficiaries Age Greater 84 |
730 |
Number Of Female Beneficiaries |
2657 |
Number Of Male Beneficiaries |
1518 |
Number Of Non Hispanic White Beneficiaries |
3757 |
Number Of Black or African American Beneficiaries |
279 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3557 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
618 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4854 |