National Provider Identifier [NPI]: |
1720039126 |
Last Name Of The Provider |
ERLICH |
First Name Of The Provider |
RODRIGO |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8221 TEAL DRIVE |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
EASTON |
Zip Code Of The Provider |
216017215 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
361449 |
Number Of Medicare Beneficiaries |
612 |
Total Submitted Charge Amount |
7522452.37 |
Total Medicare Allowed Amount |
4210520.01 |
Total Medicare Payment Amount |
3288492.89 |
Total Medicare Standardized Payment Amount |
3279652.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
76 |
Number Of Drug Services |
351172 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
6397718.37 |
Total Drug Medicare AllowedAmount |
3591928.78 |
Total Drug Medicare PaymentAmount |
2808305.48 |
Total Drug Medicare Standardized Payment Amount |
2808305.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
10277 |
Number Of Medicare Beneficiaries With Medical Services |
612 |
Total Medical Submitted Charge Amount |
1124734 |
Total Medical Medicare Allowed Amount |
618591.23 |
Total Medical Medicare Payment Amount |
480187.41 |
Total Medical Medicare Standardized Payment Amount |
471346.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
224 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
311 |
Number Of Non Hispanic White Beneficiaries |
491 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7278 |