National Provider Identifier [NPI]: |
1538167960 |
Last Name Of The Provider |
LAHN |
First Name Of The Provider |
JOEL |
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 |
25 CROSSROADS DR |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
OWINGS MILLS |
Zip Code Of The Provider |
211175421 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
6647 |
Number Of Medicare Beneficiaries |
866 |
Total Submitted Charge Amount |
1106559.88 |
Total Medicare Allowed Amount |
442156.73 |
Total Medicare Payment Amount |
338855.63 |
Total Medicare Standardized Payment Amount |
323724.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3179 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
91649.31 |
Total Drug Medicare AllowedAmount |
36612.99 |
Total Drug Medicare PaymentAmount |
28082.4 |
Total Drug Medicare Standardized Payment Amount |
28082.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3468 |
Number Of Medicare Beneficiaries With Medical Services |
866 |
Total Medical Submitted Charge Amount |
1014910.57 |
Total Medical Medicare Allowed Amount |
405543.74 |
Total Medical Medicare Payment Amount |
310773.23 |
Total Medical Medicare Standardized Payment Amount |
295642.53 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
421 |
Number Of Male Beneficiaries |
445 |
Number Of Non Hispanic White Beneficiaries |
280 |
Number Of Black or African American Beneficiaries |
565 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
4.9025 |