National Provider Identifier [NPI]: |
1073539003 |
Last Name Of The Provider |
ARATA |
First Name Of The Provider |
ELAINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
31 ROBINSON ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEVERNA PARK |
Zip Code Of The Provider |
21108 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
2127 |
Number Of Medicare Beneficiaries |
413 |
Total Submitted Charge Amount |
273948 |
Total Medicare Allowed Amount |
184571.54 |
Total Medicare Payment Amount |
127681.75 |
Total Medicare Standardized Payment Amount |
120434.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
111 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
6860 |
Total Drug Medicare AllowedAmount |
4939.67 |
Total Drug Medicare PaymentAmount |
4827.49 |
Total Drug Medicare Standardized Payment Amount |
4827.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2016 |
Number Of Medicare Beneficiaries With Medical Services |
413 |
Total Medical Submitted Charge Amount |
267088 |
Total Medical Medicare Allowed Amount |
179631.87 |
Total Medical Medicare Payment Amount |
122854.26 |
Total Medical Medicare Standardized Payment Amount |
115606.74 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
238 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
387 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7057 |