National Provider Identifier [NPI]: |
1598836801 |
Last Name Of The Provider |
DAY |
First Name Of The Provider |
KATHERINE |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
520 UPPER CHESAPEAKE DR |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
BEL AIR |
Zip Code Of The Provider |
210144339 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
4570 |
Number Of Medicare Beneficiaries |
1043 |
Total Submitted Charge Amount |
506621 |
Total Medicare Allowed Amount |
321957.52 |
Total Medicare Payment Amount |
241656.14 |
Total Medicare Standardized Payment Amount |
227272.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
4570 |
Number Of Medicare Beneficiaries With Medical Services |
1043 |
Total Medical Submitted Charge Amount |
506621 |
Total Medical Medicare Allowed Amount |
321957.52 |
Total Medical Medicare Payment Amount |
241656.14 |
Total Medical Medicare Standardized Payment Amount |
227272.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
646 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
959 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
920 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2526 |