National Provider Identifier [NPI]: |
1225235633 |
Last Name Of The Provider |
MEYERLE |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7001 MEADOW LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHEVY CHASE |
Zip Code Of The Provider |
208155015 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
4018 |
Number Of Medicare Beneficiaries |
718 |
Total Submitted Charge Amount |
1104199 |
Total Medicare Allowed Amount |
666519.84 |
Total Medicare Payment Amount |
510649.44 |
Total Medicare Standardized Payment Amount |
499526.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
721 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
500120 |
Total Drug Medicare AllowedAmount |
383178.84 |
Total Drug Medicare PaymentAmount |
299714.81 |
Total Drug Medicare Standardized Payment Amount |
299714.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
3297 |
Number Of Medicare Beneficiaries With Medical Services |
718 |
Total Medical Submitted Charge Amount |
604079 |
Total Medical Medicare Allowed Amount |
283341 |
Total Medical Medicare Payment Amount |
210934.63 |
Total Medical Medicare Standardized Payment Amount |
199811.56 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
434 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
596 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.205 |