National Provider Identifier [NPI]: |
1285744110 |
Last Name Of The Provider |
SEYMOUR |
First Name Of The Provider |
FRANCES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
508 IDLEWILD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EASTON |
Zip Code Of The Provider |
216013834 |
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 |
44 |
Number Of Services |
2082 |
Number Of Medicare Beneficiaries |
522 |
Total Submitted Charge Amount |
241764.45 |
Total Medicare Allowed Amount |
159355.24 |
Total Medicare Payment Amount |
113066.56 |
Total Medicare Standardized Payment Amount |
111499.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
242 |
Number Of Medicare Beneficiaries With Drug Services |
219 |
Total Drug Submitted ChargeAmount |
9601 |
Total Drug Medicare AllowedAmount |
9103.5 |
Total Drug Medicare PaymentAmount |
8731.26 |
Total Drug Medicare Standardized Payment Amount |
8731.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1840 |
Number Of Medicare Beneficiaries With Medical Services |
522 |
Total Medical Submitted Charge Amount |
232163.45 |
Total Medical Medicare Allowed Amount |
150251.74 |
Total Medical Medicare Payment Amount |
104335.3 |
Total Medical Medicare Standardized Payment Amount |
102768.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
418 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
444 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0195 |