National Provider Identifier [NPI]: |
1417958877 |
Last Name Of The Provider |
NEWMAN |
First Name Of The Provider |
MARY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10755 FALLS RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LUTHERVILLE |
Zip Code Of The Provider |
210934515 |
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 |
65 |
Number Of Services |
6496 |
Number Of Medicare Beneficiaries |
423 |
Total Submitted Charge Amount |
327197.99 |
Total Medicare Allowed Amount |
203208.59 |
Total Medicare Payment Amount |
165273.1 |
Total Medicare Standardized Payment Amount |
164808.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
282 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
22213 |
Total Drug Medicare AllowedAmount |
14431.49 |
Total Drug Medicare PaymentAmount |
13931.13 |
Total Drug Medicare Standardized Payment Amount |
13931.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
6214 |
Number Of Medicare Beneficiaries With Medical Services |
423 |
Total Medical Submitted Charge Amount |
304984.99 |
Total Medical Medicare Allowed Amount |
188777.1 |
Total Medical Medicare Payment Amount |
151341.97 |
Total Medical Medicare Standardized Payment Amount |
150877.43 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
388 |
Number Of Black or African American Beneficiaries |
21 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
9 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8043 |