National Provider Identifier [NPI]: |
1285638510 |
Last Name Of The Provider |
HARDY |
First Name Of The Provider |
GLENN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
510 IDLEWILD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EASTON |
Zip Code Of The Provider |
216013824 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
6891 |
Number Of Medicare Beneficiaries |
956 |
Total Submitted Charge Amount |
410098 |
Total Medicare Allowed Amount |
217895.52 |
Total Medicare Payment Amount |
162509.95 |
Total Medicare Standardized Payment Amount |
160061.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4648 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
139328 |
Total Drug Medicare AllowedAmount |
67996.11 |
Total Drug Medicare PaymentAmount |
52242.13 |
Total Drug Medicare Standardized Payment Amount |
52242.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2243 |
Number Of Medicare Beneficiaries With Medical Services |
956 |
Total Medical Submitted Charge Amount |
270770 |
Total Medical Medicare Allowed Amount |
149899.41 |
Total Medical Medicare Payment Amount |
110267.82 |
Total Medical Medicare Standardized Payment Amount |
107819.53 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
425 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
614 |
Number Of Male Beneficiaries |
342 |
Number Of Non Hispanic White Beneficiaries |
848 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
848 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9984 |