National Provider Identifier [NPI]: |
1417999160 |
Last Name Of The Provider |
OLDFIELD |
First Name Of The Provider |
ALLISON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7253 AMBASSADOR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212442710 |
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 |
182 |
Number Of Services |
28795 |
Number Of Medicare Beneficiaries |
3718 |
Total Submitted Charge Amount |
1620244.4 |
Total Medicare Allowed Amount |
486439.97 |
Total Medicare Payment Amount |
365986.11 |
Total Medicare Standardized Payment Amount |
347636.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23919 |
Number Of Medicare Beneficiaries With Drug Services |
296 |
Total Drug Submitted ChargeAmount |
8428.02 |
Total Drug Medicare AllowedAmount |
6417.98 |
Total Drug Medicare PaymentAmount |
4699.63 |
Total Drug Medicare Standardized Payment Amount |
4699.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
4876 |
Number Of Medicare Beneficiaries With Medical Services |
3718 |
Total Medical Submitted Charge Amount |
1611816.38 |
Total Medical Medicare Allowed Amount |
480021.99 |
Total Medical Medicare Payment Amount |
361286.48 |
Total Medical Medicare Standardized Payment Amount |
342936.72 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
542 |
Number Of Beneficiaries Age 65 to 74 |
1508 |
Number Of Beneficiaries Age 75 to 84 |
1101 |
Number Of Beneficiaries Age Greater 84 |
567 |
Number Of Female Beneficiaries |
2365 |
Number Of Male Beneficiaries |
1353 |
Number Of Non Hispanic White Beneficiaries |
3038 |
Number Of Black or African American Beneficiaries |
492 |
Number Of AsianPacific Islander Beneficiaries |
97 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
566 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.394 |