National Provider Identifier [NPI]: |
1376579391 |
Last Name Of The Provider |
JOSEPH |
First Name Of The Provider |
ANSON |
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 |
205 STEEPLE CHASE DR |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
PRINCE FREDERICK |
Zip Code Of The Provider |
206784053 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
2338 |
Number Of Medicare Beneficiaries |
267 |
Total Submitted Charge Amount |
262090 |
Total Medicare Allowed Amount |
167364.86 |
Total Medicare Payment Amount |
124266.72 |
Total Medicare Standardized Payment Amount |
124871.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1370 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
41100 |
Total Drug Medicare AllowedAmount |
15671.46 |
Total Drug Medicare PaymentAmount |
12059.15 |
Total Drug Medicare Standardized Payment Amount |
12059.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
968 |
Number Of Medicare Beneficiaries With Medical Services |
267 |
Total Medical Submitted Charge Amount |
220990 |
Total Medical Medicare Allowed Amount |
151693.4 |
Total Medical Medicare Payment Amount |
112207.57 |
Total Medical Medicare Standardized Payment Amount |
112812.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
129 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
160 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
3.2084 |