National Provider Identifier [NPI]: |
1124113956 |
Last Name Of The Provider |
CHATHAM |
First Name Of The Provider |
FRANKLIN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1005 N POINT BLVD |
Street Address 2 Of The Provider |
SUITE #730 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212243415 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
4302 |
Number Of Medicare Beneficiaries |
1692 |
Total Submitted Charge Amount |
583820 |
Total Medicare Allowed Amount |
296823.53 |
Total Medicare Payment Amount |
221123.5 |
Total Medicare Standardized Payment Amount |
209594.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
95 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
30400 |
Total Drug Medicare AllowedAmount |
5030.52 |
Total Drug Medicare PaymentAmount |
3943.77 |
Total Drug Medicare Standardized Payment Amount |
3943.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
4207 |
Number Of Medicare Beneficiaries With Medical Services |
1692 |
Total Medical Submitted Charge Amount |
553420 |
Total Medical Medicare Allowed Amount |
291793.01 |
Total Medical Medicare Payment Amount |
217179.73 |
Total Medical Medicare Standardized Payment Amount |
205650.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
280 |
Number Of Beneficiaries Age 65 to 74 |
506 |
Number Of Beneficiaries Age 75 to 84 |
511 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
929 |
Number Of Male Beneficiaries |
763 |
Number Of Non Hispanic White Beneficiaries |
1466 |
Number Of Black or African American Beneficiaries |
174 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1370 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
322 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.0474 |