National Provider Identifier [NPI]: |
1245260348 |
Last Name Of The Provider |
FEIGIN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 N WOLFE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212870005 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
5252 |
Number Of Medicare Beneficiaries |
2634 |
Total Submitted Charge Amount |
242157 |
Total Medicare Allowed Amount |
54569.61 |
Total Medicare Payment Amount |
41364.63 |
Total Medicare Standardized Payment Amount |
38207.53 |
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 |
52 |
Number Of Medical Services |
5252 |
Number Of Medicare Beneficiaries With Medical Services |
2634 |
Total Medical Submitted Charge Amount |
242157 |
Total Medical Medicare Allowed Amount |
54569.61 |
Total Medical Medicare Payment Amount |
41364.63 |
Total Medical Medicare Standardized Payment Amount |
38207.53 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
687 |
Number Of Beneficiaries Age 65 to 74 |
1115 |
Number Of Beneficiaries Age 75 to 84 |
621 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
1268 |
Number Of Male Beneficiaries |
1366 |
Number Of Non Hispanic White Beneficiaries |
1670 |
Number Of Black or African American Beneficiaries |
772 |
Number Of AsianPacific Islander Beneficiaries |
71 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
63 |
Number Of Beneficiaries With Medicare Only Entitlement |
1996 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
638 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.5193 |