National Provider Identifier [NPI]: |
1073515813 |
Last Name Of The Provider |
RADOWICH |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2002 MEDICAL PKWY |
Street Address 2 Of The Provider |
SUITE 235 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214013046 |
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 |
178 |
Number Of Services |
8127 |
Number Of Medicare Beneficiaries |
4544 |
Total Submitted Charge Amount |
1188480.4 |
Total Medicare Allowed Amount |
484402.62 |
Total Medicare Payment Amount |
397991.93 |
Total Medicare Standardized Payment Amount |
374181.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1593 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
3044 |
Total Drug Medicare AllowedAmount |
1756.03 |
Total Drug Medicare PaymentAmount |
1376.76 |
Total Drug Medicare Standardized Payment Amount |
1376.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
6534 |
Number Of Medicare Beneficiaries With Medical Services |
4544 |
Total Medical Submitted Charge Amount |
1185436.4 |
Total Medical Medicare Allowed Amount |
482646.59 |
Total Medical Medicare Payment Amount |
396615.17 |
Total Medical Medicare Standardized Payment Amount |
372804.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
422 |
Number Of Beneficiaries Age 65 to 74 |
2135 |
Number Of Beneficiaries Age 75 to 84 |
1323 |
Number Of Beneficiaries Age Greater 84 |
664 |
Number Of Female Beneficiaries |
3232 |
Number Of Male Beneficiaries |
1312 |
Number Of Non Hispanic White Beneficiaries |
3622 |
Number Of Black or African American Beneficiaries |
765 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
62 |
Number Of Beneficiaries With Medicare Only Entitlement |
4081 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
463 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.394 |