National Provider Identifier [NPI]: |
1699713941 |
Last Name Of The Provider |
REID |
First Name Of The Provider |
WILLIAM |
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 |
100 E CARROLL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
218015422 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
310 |
Number Of Services |
24042 |
Number Of Medicare Beneficiaries |
6957 |
Total Submitted Charge Amount |
1930677.8 |
Total Medicare Allowed Amount |
694235.82 |
Total Medicare Payment Amount |
538463.43 |
Total Medicare Standardized Payment Amount |
533951.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11928 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
6364.8 |
Total Drug Medicare AllowedAmount |
4161.03 |
Total Drug Medicare PaymentAmount |
3244.48 |
Total Drug Medicare Standardized Payment Amount |
3244.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
308 |
Number Of Medical Services |
12114 |
Number Of Medicare Beneficiaries With Medical Services |
6957 |
Total Medical Submitted Charge Amount |
1924313 |
Total Medical Medicare Allowed Amount |
690074.79 |
Total Medical Medicare Payment Amount |
535218.95 |
Total Medical Medicare Standardized Payment Amount |
530707.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
1066 |
Number Of Beneficiaries Age 65 to 74 |
2828 |
Number Of Beneficiaries Age 75 to 84 |
2176 |
Number Of Beneficiaries Age Greater 84 |
887 |
Number Of Female Beneficiaries |
4240 |
Number Of Male Beneficiaries |
2717 |
Number Of Non Hispanic White Beneficiaries |
5660 |
Number Of Black or African American Beneficiaries |
1135 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
5412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1545 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.6346 |