National Provider Identifier [NPI]: |
1336199942 |
Last Name Of The Provider |
AUERBACH |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5233 KING AVE |
Street Address 2 Of The Provider |
SUITE 308 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212374001 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
321802 |
Number Of Medicare Beneficiaries |
604 |
Total Submitted Charge Amount |
6510574 |
Total Medicare Allowed Amount |
3490479.82 |
Total Medicare Payment Amount |
2701193.16 |
Total Medicare Standardized Payment Amount |
2684705.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
67 |
Number Of Drug Services |
312242 |
Number Of Medicare Beneficiaries With Drug Services |
373 |
Total Drug Submitted ChargeAmount |
5806740 |
Total Drug Medicare AllowedAmount |
3099705.57 |
Total Drug Medicare PaymentAmount |
2406099.67 |
Total Drug Medicare Standardized Payment Amount |
2406099.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
9560 |
Number Of Medicare Beneficiaries With Medical Services |
604 |
Total Medical Submitted Charge Amount |
703834 |
Total Medical Medicare Allowed Amount |
390774.25 |
Total Medical Medicare Payment Amount |
295093.49 |
Total Medical Medicare Standardized Payment Amount |
278605.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
537 |
Number Of Black or African American Beneficiaries |
47 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
546 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7949 |