National Provider Identifier [NPI]: |
1356413199 |
Last Name Of The Provider |
CHOW |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4445 WILLARD AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CHEVY CHASE |
Zip Code Of The Provider |
208153690 |
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 |
57 |
Number Of Services |
6994 |
Number Of Medicare Beneficiaries |
969 |
Total Submitted Charge Amount |
519596 |
Total Medicare Allowed Amount |
221922.06 |
Total Medicare Payment Amount |
182443.58 |
Total Medicare Standardized Payment Amount |
157239.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5090 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
7820 |
Total Drug Medicare AllowedAmount |
1601.27 |
Total Drug Medicare PaymentAmount |
1233.91 |
Total Drug Medicare Standardized Payment Amount |
1233.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
1904 |
Number Of Medicare Beneficiaries With Medical Services |
969 |
Total Medical Submitted Charge Amount |
511776 |
Total Medical Medicare Allowed Amount |
220320.79 |
Total Medical Medicare Payment Amount |
181209.67 |
Total Medical Medicare Standardized Payment Amount |
156005.68 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
668 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
904 |
Number Of Male Beneficiaries |
65 |
Number Of Non Hispanic White Beneficiaries |
779 |
Number Of Black or African American Beneficiaries |
95 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
949 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
4 |
Percent Of With Chronic Kidney Disease |
6 |
Percent Of With Chronic Obstructive Pulmonary Disease |
3 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.6632 |