National Provider Identifier [NPI]: |
1346228152 |
Last Name Of The Provider |
SHEYN |
First Name Of The Provider |
YEVGENIY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7300 HANOVER DR |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
GREENBELT |
Zip Code Of The Provider |
207702202 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
11355 |
Number Of Medicare Beneficiaries |
538 |
Total Submitted Charge Amount |
1121284 |
Total Medicare Allowed Amount |
565361.5 |
Total Medicare Payment Amount |
442475.95 |
Total Medicare Standardized Payment Amount |
402230.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1578 |
Number Of Medicare Beneficiaries With Drug Services |
380 |
Total Drug Submitted ChargeAmount |
41115 |
Total Drug Medicare AllowedAmount |
25325.22 |
Total Drug Medicare PaymentAmount |
20093.56 |
Total Drug Medicare Standardized Payment Amount |
20093.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
9777 |
Number Of Medicare Beneficiaries With Medical Services |
538 |
Total Medical Submitted Charge Amount |
1080169 |
Total Medical Medicare Allowed Amount |
540036.28 |
Total Medical Medicare Payment Amount |
422382.39 |
Total Medical Medicare Standardized Payment Amount |
382137.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
167 |
Number Of Black or African American Beneficiaries |
343 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
469 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4424 |