National Provider Identifier [NPI]: |
1104837442 |
Last Name Of The Provider |
BURRELL |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2730 UNIVERSITY BLVD W |
Street Address 2 Of The Provider |
400 |
City Of The Provider |
WHEATON |
Zip Code Of The Provider |
209021905 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
118885 |
Number Of Medicare Beneficiaries |
598 |
Total Submitted Charge Amount |
4323212.5 |
Total Medicare Allowed Amount |
1279614.52 |
Total Medicare Payment Amount |
997606.84 |
Total Medicare Standardized Payment Amount |
973472.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
54 |
Number Of Drug Services |
114249 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
3635131 |
Total Drug Medicare AllowedAmount |
1014280.18 |
Total Drug Medicare PaymentAmount |
793348.72 |
Total Drug Medicare Standardized Payment Amount |
793348.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4636 |
Number Of Medicare Beneficiaries With Medical Services |
596 |
Total Medical Submitted Charge Amount |
688081.5 |
Total Medical Medicare Allowed Amount |
265334.34 |
Total Medical Medicare Payment Amount |
204258.12 |
Total Medical Medicare Standardized Payment Amount |
180123.38 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
444 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
413 |
Number Of Black or African American Beneficiaries |
134 |
Number Of AsianPacific Islander Beneficiaries |
22 |
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 |
519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6981 |