National Provider Identifier [NPI]: |
1366471773 |
Last Name Of The Provider |
RUBIN |
First Name Of The Provider |
BERNARD |
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 |
4000 OLD COURT RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
PIKESVILLE |
Zip Code Of The Provider |
212082800 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
5587 |
Number Of Medicare Beneficiaries |
2165 |
Total Submitted Charge Amount |
494249 |
Total Medicare Allowed Amount |
333820.75 |
Total Medicare Payment Amount |
246927.78 |
Total Medicare Standardized Payment Amount |
232799.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
5587 |
Number Of Medicare Beneficiaries With Medical Services |
2165 |
Total Medical Submitted Charge Amount |
494249 |
Total Medical Medicare Allowed Amount |
333820.75 |
Total Medical Medicare Payment Amount |
246927.78 |
Total Medical Medicare Standardized Payment Amount |
232799.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
347 |
Number Of Beneficiaries Age 65 to 74 |
660 |
Number Of Beneficiaries Age 75 to 84 |
654 |
Number Of Beneficiaries Age Greater 84 |
504 |
Number Of Female Beneficiaries |
1270 |
Number Of Male Beneficiaries |
895 |
Number Of Non Hispanic White Beneficiaries |
996 |
Number Of Black or African American Beneficiaries |
1104 |
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 |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
514 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9314 |