National Provider Identifier [NPI]: |
1942248588 |
Last Name Of The Provider |
AVRUNIN |
First Name Of The Provider |
BENJAMIN |
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 |
18111 PRINCE PHILIP DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
OLNEY |
Zip Code Of The Provider |
208321513 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
2751 |
Number Of Medicare Beneficiaries |
555 |
Total Submitted Charge Amount |
221153 |
Total Medicare Allowed Amount |
172996.58 |
Total Medicare Payment Amount |
127651.58 |
Total Medicare Standardized Payment Amount |
115655.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
165 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
6312 |
Total Drug Medicare AllowedAmount |
4757.33 |
Total Drug Medicare PaymentAmount |
4651.92 |
Total Drug Medicare Standardized Payment Amount |
4651.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2586 |
Number Of Medicare Beneficiaries With Medical Services |
555 |
Total Medical Submitted Charge Amount |
214841 |
Total Medical Medicare Allowed Amount |
168239.25 |
Total Medical Medicare Payment Amount |
122999.66 |
Total Medical Medicare Standardized Payment Amount |
111004.02 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
182 |
Number Of Female Beneficiaries |
321 |
Number Of Male Beneficiaries |
234 |
Number Of Non Hispanic White Beneficiaries |
517 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
526 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0718 |