National Provider Identifier [NPI]: |
1386620706 |
Last Name Of The Provider |
SOKOLSKY |
First Name Of The Provider |
FELIX |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11125 ROCKVILLE PIKE |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208523142 |
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 |
17 |
Number Of Services |
4636 |
Number Of Medicare Beneficiaries |
790 |
Total Submitted Charge Amount |
294680 |
Total Medicare Allowed Amount |
253932.84 |
Total Medicare Payment Amount |
190220.31 |
Total Medicare Standardized Payment Amount |
172158.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
400 |
Number Of Medicare Beneficiaries With Drug Services |
394 |
Total Drug Submitted ChargeAmount |
10540 |
Total Drug Medicare AllowedAmount |
5511.52 |
Total Drug Medicare PaymentAmount |
5401.6 |
Total Drug Medicare Standardized Payment Amount |
5401.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
4236 |
Number Of Medicare Beneficiaries With Medical Services |
790 |
Total Medical Submitted Charge Amount |
284140 |
Total Medical Medicare Allowed Amount |
248421.32 |
Total Medical Medicare Payment Amount |
184818.71 |
Total Medical Medicare Standardized Payment Amount |
166757.33 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
377 |
Number Of Beneficiaries Age Greater 84 |
209 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
540 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
168 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
654 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1736 |