National Provider Identifier [NPI]: |
1356363618 |
Last Name Of The Provider |
HARDING |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
B |
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 |
SUITE 300 |
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 |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
3717 |
Number Of Medicare Beneficiaries |
579 |
Total Submitted Charge Amount |
219014.5 |
Total Medicare Allowed Amount |
151017.05 |
Total Medicare Payment Amount |
110720.88 |
Total Medicare Standardized Payment Amount |
99420.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
304 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
15435 |
Total Drug Medicare AllowedAmount |
6848.91 |
Total Drug Medicare PaymentAmount |
6434.99 |
Total Drug Medicare Standardized Payment Amount |
6434.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3413 |
Number Of Medicare Beneficiaries With Medical Services |
578 |
Total Medical Submitted Charge Amount |
203579.5 |
Total Medical Medicare Allowed Amount |
144168.14 |
Total Medical Medicare Payment Amount |
104285.89 |
Total Medical Medicare Standardized Payment Amount |
92985.11 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
296 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
481 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
510 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8948 |