National Provider Identifier [NPI]: |
1841333465 |
Last Name Of The Provider |
VERDE |
First Name Of The Provider |
FRANCO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22 S GREENE ST |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212011544 |
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 |
131 |
Number Of Services |
3785 |
Number Of Medicare Beneficiaries |
2187 |
Total Submitted Charge Amount |
821440 |
Total Medicare Allowed Amount |
174633.29 |
Total Medicare Payment Amount |
128224.35 |
Total Medicare Standardized Payment Amount |
123679.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
5319 |
Total Drug Medicare AllowedAmount |
8.35 |
Total Drug Medicare PaymentAmount |
6.74 |
Total Drug Medicare Standardized Payment Amount |
6.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
3746 |
Number Of Medicare Beneficiaries With Medical Services |
2187 |
Total Medical Submitted Charge Amount |
816121 |
Total Medical Medicare Allowed Amount |
174624.94 |
Total Medical Medicare Payment Amount |
128217.61 |
Total Medical Medicare Standardized Payment Amount |
123673.2 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
572 |
Number Of Beneficiaries Age 65 to 74 |
808 |
Number Of Beneficiaries Age 75 to 84 |
527 |
Number Of Beneficiaries Age Greater 84 |
280 |
Number Of Female Beneficiaries |
1157 |
Number Of Male Beneficiaries |
1030 |
Number Of Non Hispanic White Beneficiaries |
1671 |
Number Of Black or African American Beneficiaries |
431 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
646 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1199 |