National Provider Identifier [NPI]: |
1073584496 |
Last Name Of The Provider |
GARFINKEL |
First Name Of The Provider |
DARRYL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21 CROSSROADS DR |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
OWINGS MILLS |
Zip Code Of The Provider |
211175441 |
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 |
88 |
Number Of Services |
6036 |
Number Of Medicare Beneficiaries |
1036 |
Total Submitted Charge Amount |
520815.75 |
Total Medicare Allowed Amount |
139732.34 |
Total Medicare Payment Amount |
108736.83 |
Total Medicare Standardized Payment Amount |
101576.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4451 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
5563.75 |
Total Drug Medicare AllowedAmount |
760.5 |
Total Drug Medicare PaymentAmount |
529.63 |
Total Drug Medicare Standardized Payment Amount |
529.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
1585 |
Number Of Medicare Beneficiaries With Medical Services |
1036 |
Total Medical Submitted Charge Amount |
515252 |
Total Medical Medicare Allowed Amount |
138971.84 |
Total Medical Medicare Payment Amount |
108207.2 |
Total Medical Medicare Standardized Payment Amount |
101046.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
224 |
Number Of Beneficiaries Age 65 to 74 |
495 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
754 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
679 |
Number Of Black or African American Beneficiaries |
289 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
763 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
273 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.078 |