National Provider Identifier [NPI]: |
1861454308 |
Last Name Of The Provider |
SIMONS |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 FEDERAL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEAFORD |
Zip Code Of The Provider |
199735764 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
12622 |
Number Of Medicare Beneficiaries |
3378 |
Total Submitted Charge Amount |
1210085 |
Total Medicare Allowed Amount |
596413.31 |
Total Medicare Payment Amount |
457485.66 |
Total Medicare Standardized Payment Amount |
452518.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
382 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
10160 |
Total Drug Medicare AllowedAmount |
424.78 |
Total Drug Medicare PaymentAmount |
327.82 |
Total Drug Medicare Standardized Payment Amount |
327.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
12240 |
Number Of Medicare Beneficiaries With Medical Services |
3378 |
Total Medical Submitted Charge Amount |
1199925 |
Total Medical Medicare Allowed Amount |
595988.53 |
Total Medical Medicare Payment Amount |
457157.84 |
Total Medical Medicare Standardized Payment Amount |
452190.78 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
527 |
Number Of Beneficiaries Age 65 to 74 |
1188 |
Number Of Beneficiaries Age 75 to 84 |
1111 |
Number Of Beneficiaries Age Greater 84 |
552 |
Number Of Female Beneficiaries |
1783 |
Number Of Male Beneficiaries |
1595 |
Number Of Non Hispanic White Beneficiaries |
2785 |
Number Of Black or African American Beneficiaries |
505 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
907 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.7835 |