National Provider Identifier [NPI]: |
1043201817 |
Last Name Of The Provider |
ASHTAR |
First Name Of The Provider |
ED |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., F.A.C.P. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15225 SHADY GROVE RD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503254 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
183419.5 |
Number Of Medicare Beneficiaries |
74 |
Total Submitted Charge Amount |
6694820.86 |
Total Medicare Allowed Amount |
1783080.51 |
Total Medicare Payment Amount |
1395207.99 |
Total Medicare Standardized Payment Amount |
1388408.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
36 |
Number Of Drug Services |
178019.5 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
5716368.91 |
Total Drug Medicare AllowedAmount |
1504848.52 |
Total Drug Medicare PaymentAmount |
1178730.87 |
Total Drug Medicare Standardized Payment Amount |
1178730.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5400 |
Number Of Medicare Beneficiaries With Medical Services |
74 |
Total Medical Submitted Charge Amount |
978451.95 |
Total Medical Medicare Allowed Amount |
278231.99 |
Total Medical Medicare Payment Amount |
216477.12 |
Total Medical Medicare Standardized Payment Amount |
209677.95 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
28 |
Number Of Beneficiaries Age 75 to 84 |
26 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
41 |
Number Of Male Beneficiaries |
33 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
54 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
|
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.2543 |