National Provider Identifier [NPI]: |
1962488692 |
Last Name Of The Provider |
CASEY |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11119 ROCKVILLE PIKE |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208523143 |
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 |
26 |
Number Of Services |
7755 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
860963.5 |
Total Medicare Allowed Amount |
820265.43 |
Total Medicare Payment Amount |
632976.58 |
Total Medicare Standardized Payment Amount |
571500.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
198 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
2880 |
Total Drug Medicare AllowedAmount |
2141.57 |
Total Drug Medicare PaymentAmount |
1678.84 |
Total Drug Medicare Standardized Payment Amount |
1678.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
7557 |
Number Of Medicare Beneficiaries With Medical Services |
784 |
Total Medical Submitted Charge Amount |
858083.5 |
Total Medical Medicare Allowed Amount |
818123.86 |
Total Medical Medicare Payment Amount |
631297.74 |
Total Medical Medicare Standardized Payment Amount |
569821.96 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
553 |
Number Of Black or African American Beneficiaries |
119 |
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
256 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.0356 |