National Provider Identifier [NPI]: |
1053365189 |
Last Name Of The Provider |
MARSHALL |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5530 WISCONSIN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHEVY CHASE |
Zip Code Of The Provider |
208154404 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
1541 |
Number Of Medicare Beneficiaries |
637 |
Total Submitted Charge Amount |
390614 |
Total Medicare Allowed Amount |
176037.65 |
Total Medicare Payment Amount |
130394.91 |
Total Medicare Standardized Payment Amount |
122551.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
4550 |
Total Drug Medicare AllowedAmount |
687.84 |
Total Drug Medicare PaymentAmount |
539.22 |
Total Drug Medicare Standardized Payment Amount |
539.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
1528 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
386064 |
Total Medical Medicare Allowed Amount |
175349.81 |
Total Medical Medicare Payment Amount |
129855.69 |
Total Medical Medicare Standardized Payment Amount |
122012.3 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
321 |
Number Of Male Beneficiaries |
316 |
Number Of Non Hispanic White Beneficiaries |
503 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4993 |