National Provider Identifier [NPI]: |
1780630954 |
Last Name Of The Provider |
DEMARCO |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2730 UNIVERSITY BLVD W |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
WHEATON |
Zip Code Of The Provider |
209021905 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
39590 |
Number Of Medicare Beneficiaries |
521 |
Total Submitted Charge Amount |
3391615 |
Total Medicare Allowed Amount |
1094036.23 |
Total Medicare Payment Amount |
854621.32 |
Total Medicare Standardized Payment Amount |
826687.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
30637 |
Number Of Medicare Beneficiaries With Drug Services |
260 |
Total Drug Submitted ChargeAmount |
2034970 |
Total Drug Medicare AllowedAmount |
744766.26 |
Total Drug Medicare PaymentAmount |
582872 |
Total Drug Medicare Standardized Payment Amount |
582872 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
8953 |
Number Of Medicare Beneficiaries With Medical Services |
521 |
Total Medical Submitted Charge Amount |
1356645 |
Total Medical Medicare Allowed Amount |
349269.97 |
Total Medical Medicare Payment Amount |
271749.32 |
Total Medical Medicare Standardized Payment Amount |
243815.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
383 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
327 |
Number Of Black or African American Beneficiaries |
125 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
456 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
36 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1872 |