National Provider Identifier [NPI]: |
1538163514 |
Last Name Of The Provider |
SAUERBURGER |
First Name Of The Provider |
FREDERICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD, PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11345 PEMBROOKE SQ |
Street Address 2 Of The Provider |
STE 105 |
City Of The Provider |
WALDORF |
Zip Code Of The Provider |
206034804 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
3090 |
Number Of Medicare Beneficiaries |
1405 |
Total Submitted Charge Amount |
961940 |
Total Medicare Allowed Amount |
469901.92 |
Total Medicare Payment Amount |
342268.13 |
Total Medicare Standardized Payment Amount |
330637.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3090 |
Number Of Medicare Beneficiaries With Medical Services |
1405 |
Total Medical Submitted Charge Amount |
961940 |
Total Medical Medicare Allowed Amount |
469901.92 |
Total Medical Medicare Payment Amount |
342268.13 |
Total Medical Medicare Standardized Payment Amount |
330637.24 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
530 |
Number Of Beneficiaries Age 75 to 84 |
602 |
Number Of Beneficiaries Age Greater 84 |
239 |
Number Of Female Beneficiaries |
870 |
Number Of Male Beneficiaries |
535 |
Number Of Non Hispanic White Beneficiaries |
1200 |
Number Of Black or African American Beneficiaries |
158 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1360 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1301 |