National Provider Identifier [NPI]: |
1154365328 |
Last Name Of The Provider |
MCCABE |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18103 PRINCE PHILIP DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
OLNEY |
Zip Code Of The Provider |
208321514 |
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 |
115 |
Number Of Services |
7830 |
Number Of Medicare Beneficiaries |
2454 |
Total Submitted Charge Amount |
934991.43 |
Total Medicare Allowed Amount |
338089.58 |
Total Medicare Payment Amount |
275334.77 |
Total Medicare Standardized Payment Amount |
239459.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4477 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
4268.8 |
Total Drug Medicare AllowedAmount |
2054.43 |
Total Drug Medicare PaymentAmount |
1485.43 |
Total Drug Medicare Standardized Payment Amount |
1485.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
3353 |
Number Of Medicare Beneficiaries With Medical Services |
2454 |
Total Medical Submitted Charge Amount |
930722.63 |
Total Medical Medicare Allowed Amount |
336035.15 |
Total Medical Medicare Payment Amount |
273849.34 |
Total Medical Medicare Standardized Payment Amount |
237974.15 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
415 |
Number Of Beneficiaries Age 65 to 74 |
1325 |
Number Of Beneficiaries Age 75 to 84 |
567 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
1910 |
Number Of Male Beneficiaries |
544 |
Number Of Non Hispanic White Beneficiaries |
1072 |
Number Of Black or African American Beneficiaries |
1067 |
Number Of AsianPacific Islander Beneficiaries |
130 |
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
487 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0599 |