National Provider Identifier [NPI]: |
1952309635 |
Last Name Of The Provider |
SILVA |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9715 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503320 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
10006 |
Number Of Medicare Beneficiaries |
824 |
Total Submitted Charge Amount |
4681820.5 |
Total Medicare Allowed Amount |
1778966.06 |
Total Medicare Payment Amount |
1380783.19 |
Total Medicare Standardized Payment Amount |
1173574.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
6283 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
6283 |
Total Drug Medicare AllowedAmount |
1370.19 |
Total Drug Medicare PaymentAmount |
1074.33 |
Total Drug Medicare Standardized Payment Amount |
1074.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
3723 |
Number Of Medicare Beneficiaries With Medical Services |
824 |
Total Medical Submitted Charge Amount |
4675537.5 |
Total Medical Medicare Allowed Amount |
1777595.87 |
Total Medical Medicare Payment Amount |
1379708.86 |
Total Medical Medicare Standardized Payment Amount |
1172499.91 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
283 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
488 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
606 |
Number Of Black or African American Beneficiaries |
125 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
699 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0899 |