| National Provider Identifier [NPI]: | 1184684789 |
| Last Name Of The Provider | EDNEY |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1342 SOUTH DIVISION STREET |
| Street Address 2 Of The Provider | UNIT 401 PENINSULA UROLOGY ASSOCIATES PA |
| City Of The Provider | SALISBURY |
| Zip Code Of The Provider | 21084 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 83 |
| Number Of Services | 5134 |
| Number Of Medicare Beneficiaries | 1572 |
| Total Submitted Charge Amount | 1231632.54 |
| Total Medicare Allowed Amount | 418843.14 |
| Total Medicare Payment Amount | 304491.25 |
| Total Medicare Standardized Payment Amount | 303256.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 721 |
| Number Of Medicare Beneficiaries With Drug Services | 58 |
| Total Drug Submitted ChargeAmount | 234939.54 |
| Total Drug Medicare AllowedAmount | 91346.97 |
| Total Drug Medicare PaymentAmount | 69616.32 |
| Total Drug Medicare Standardized Payment Amount | 69616.32 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 76 |
| Number Of Medical Services | 4413 |
| Number Of Medicare Beneficiaries With Medical Services | 1572 |
| Total Medical Submitted Charge Amount | 996693 |
| Total Medical Medicare Allowed Amount | 327496.17 |
| Total Medical Medicare Payment Amount | 234874.93 |
| Total Medical Medicare Standardized Payment Amount | 233640.42 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 141 |
| Number Of Beneficiaries Age 65 to 74 | 711 |
| Number Of Beneficiaries Age 75 to 84 | 547 |
| Number Of Beneficiaries Age Greater 84 | 173 |
| Number Of Female Beneficiaries | 284 |
| Number Of Male Beneficiaries | 1288 |
| Number Of Non Hispanic White Beneficiaries | 1322 |
| Number Of Black or African American Beneficiaries | 211 |
| 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 | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1406 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 166 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 27 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2521 |