National Provider Identifier [NPI]: |
1295716827 |
Last Name Of The Provider |
PIERCE |
First Name Of The Provider |
MARTHA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 W 9TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDERICK |
Zip Code Of The Provider |
217014541 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
4018 |
Number Of Medicare Beneficiaries |
661 |
Total Submitted Charge Amount |
273783.5 |
Total Medicare Allowed Amount |
174082.07 |
Total Medicare Payment Amount |
136256.36 |
Total Medicare Standardized Payment Amount |
133953.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
181 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
5140 |
Total Drug Medicare AllowedAmount |
3937.59 |
Total Drug Medicare PaymentAmount |
3858.46 |
Total Drug Medicare Standardized Payment Amount |
3858.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
3837 |
Number Of Medicare Beneficiaries With Medical Services |
661 |
Total Medical Submitted Charge Amount |
268643.5 |
Total Medical Medicare Allowed Amount |
170144.48 |
Total Medical Medicare Payment Amount |
132397.9 |
Total Medical Medicare Standardized Payment Amount |
130095.14 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
612 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
614 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.111 |