National Provider Identifier [NPI]: |
1568480358 |
Last Name Of The Provider |
TAMPE |
First Name Of The Provider |
GERMAN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8220 GOOD LUCK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANHAM |
Zip Code Of The Provider |
20706 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
9003 |
Number Of Medicare Beneficiaries |
3075 |
Total Submitted Charge Amount |
1199701.35 |
Total Medicare Allowed Amount |
502288.49 |
Total Medicare Payment Amount |
391917.68 |
Total Medicare Standardized Payment Amount |
364444.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3240 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
8400 |
Total Drug Medicare AllowedAmount |
1082.88 |
Total Drug Medicare PaymentAmount |
849.1 |
Total Drug Medicare Standardized Payment Amount |
849.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
5763 |
Number Of Medicare Beneficiaries With Medical Services |
3075 |
Total Medical Submitted Charge Amount |
1191301.35 |
Total Medical Medicare Allowed Amount |
501205.61 |
Total Medical Medicare Payment Amount |
391068.58 |
Total Medical Medicare Standardized Payment Amount |
363595.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
583 |
Number Of Beneficiaries Age 65 to 74 |
1170 |
Number Of Beneficiaries Age 75 to 84 |
913 |
Number Of Beneficiaries Age Greater 84 |
409 |
Number Of Female Beneficiaries |
2022 |
Number Of Male Beneficiaries |
1053 |
Number Of Non Hispanic White Beneficiaries |
699 |
Number Of Black or African American Beneficiaries |
2201 |
Number Of AsianPacific Islander Beneficiaries |
60 |
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
736 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0053 |