National Provider Identifier [NPI]: |
1871561415 |
Last Name Of The Provider |
FREELAND |
First Name Of The Provider |
HOWARD |
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 |
5601 LOCH RAVEN BLVD |
Street Address 2 Of The Provider |
RUSSELL MORGAN BLDG., 3RD FLOOR |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212392905 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2747 |
Number Of Medicare Beneficiaries |
837 |
Total Submitted Charge Amount |
419934 |
Total Medicare Allowed Amount |
182947.32 |
Total Medicare Payment Amount |
136472.69 |
Total Medicare Standardized Payment Amount |
130695.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
858 |
Total Drug Medicare AllowedAmount |
501.57 |
Total Drug Medicare PaymentAmount |
489.4 |
Total Drug Medicare Standardized Payment Amount |
489.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2707 |
Number Of Medicare Beneficiaries With Medical Services |
837 |
Total Medical Submitted Charge Amount |
419076 |
Total Medical Medicare Allowed Amount |
182445.75 |
Total Medical Medicare Payment Amount |
135983.29 |
Total Medical Medicare Standardized Payment Amount |
130206.01 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
513 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
408 |
Number Of Black or African American Beneficiaries |
405 |
Number Of AsianPacific Islander Beneficiaries |
12 |
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 |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
32 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
63 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.019 |