National Provider Identifier [NPI]: |
1851353452 |
Last Name Of The Provider |
REDWOOD |
First Name Of The Provider |
STANLEY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5051 GREENSPRING AVE |
Street Address 2 Of The Provider |
SUITE 302 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212094354 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
6841 |
Number Of Medicare Beneficiaries |
1084 |
Total Submitted Charge Amount |
1092471 |
Total Medicare Allowed Amount |
484171.66 |
Total Medicare Payment Amount |
362504.84 |
Total Medicare Standardized Payment Amount |
348048.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1551 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
266239 |
Total Drug Medicare AllowedAmount |
108597.49 |
Total Drug Medicare PaymentAmount |
84055.62 |
Total Drug Medicare Standardized Payment Amount |
84055.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
5290 |
Number Of Medicare Beneficiaries With Medical Services |
1084 |
Total Medical Submitted Charge Amount |
826232 |
Total Medical Medicare Allowed Amount |
375574.17 |
Total Medical Medicare Payment Amount |
278449.22 |
Total Medical Medicare Standardized Payment Amount |
263992.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
801 |
Number Of Non Hispanic White Beneficiaries |
386 |
Number Of Black or African American Beneficiaries |
667 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
868 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.347 |