National Provider Identifier [NPI]: |
1447254230 |
Last Name Of The Provider |
BALL |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16220 FREDERICK RD |
Street Address 2 Of The Provider |
STE 213 |
City Of The Provider |
GAITHERSBURG |
Zip Code Of The Provider |
208774039 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3948 |
Number Of Medicare Beneficiaries |
877 |
Total Submitted Charge Amount |
393436.98 |
Total Medicare Allowed Amount |
342989.26 |
Total Medicare Payment Amount |
258064.92 |
Total Medicare Standardized Payment Amount |
234597.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
2097.88 |
Total Drug Medicare AllowedAmount |
2097.88 |
Total Drug Medicare PaymentAmount |
2055.94 |
Total Drug Medicare Standardized Payment Amount |
2055.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3888 |
Number Of Medicare Beneficiaries With Medical Services |
877 |
Total Medical Submitted Charge Amount |
391339.1 |
Total Medical Medicare Allowed Amount |
340891.38 |
Total Medical Medicare Payment Amount |
256008.98 |
Total Medical Medicare Standardized Payment Amount |
232541.62 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
356 |
Number Of Non Hispanic White Beneficiaries |
680 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
709 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
168 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.717 |