National Provider Identifier [NPI]: |
1619077294 |
Last Name Of The Provider |
FELDMAN |
First Name Of The Provider |
BURT |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3305 N LEISURE WORLD BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209061367 |
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 |
36 |
Number Of Services |
4426 |
Number Of Medicare Beneficiaries |
1004 |
Total Submitted Charge Amount |
653674 |
Total Medicare Allowed Amount |
419175.86 |
Total Medicare Payment Amount |
314386.35 |
Total Medicare Standardized Payment Amount |
280212.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
657 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
16952 |
Total Drug Medicare AllowedAmount |
9425.96 |
Total Drug Medicare PaymentAmount |
7502.48 |
Total Drug Medicare Standardized Payment Amount |
7502.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3769 |
Number Of Medicare Beneficiaries With Medical Services |
1004 |
Total Medical Submitted Charge Amount |
636722 |
Total Medical Medicare Allowed Amount |
409749.9 |
Total Medical Medicare Payment Amount |
306883.87 |
Total Medical Medicare Standardized Payment Amount |
272710.08 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
367 |
Number Of Beneficiaries Age Greater 84 |
476 |
Number Of Female Beneficiaries |
704 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
868 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
988 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3314 |