National Provider Identifier [NPI]: |
1497854376 |
Last Name Of The Provider |
EREN |
First Name Of The Provider |
FER |
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 |
7310 RITCHIE HWY |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
GLEN BURNIE |
Zip Code Of The Provider |
210613065 |
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 |
24 |
Number Of Services |
4840 |
Number Of Medicare Beneficiaries |
764 |
Total Submitted Charge Amount |
710951 |
Total Medicare Allowed Amount |
388593.91 |
Total Medicare Payment Amount |
272594.95 |
Total Medicare Standardized Payment Amount |
258191.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
363 |
Number Of Medicare Beneficiaries With Drug Services |
352 |
Total Drug Submitted ChargeAmount |
14590 |
Total Drug Medicare AllowedAmount |
3478.91 |
Total Drug Medicare PaymentAmount |
3408.31 |
Total Drug Medicare Standardized Payment Amount |
3408.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
4477 |
Number Of Medicare Beneficiaries With Medical Services |
764 |
Total Medical Submitted Charge Amount |
696361 |
Total Medical Medicare Allowed Amount |
385115 |
Total Medical Medicare Payment Amount |
269186.64 |
Total Medical Medicare Standardized Payment Amount |
254782.74 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
343 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
642 |
Number Of Black or African American Beneficiaries |
94 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
614 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1731 |