National Provider Identifier [NPI]: |
1023096559 |
Last Name Of The Provider |
BAUMGARTEN |
First Name Of The Provider |
MARGARET |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 CRAWFORD ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
PORTSMOUTH |
Zip Code Of The Provider |
237043820 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
989 |
Number Of Medicare Beneficiaries |
381 |
Total Submitted Charge Amount |
133988 |
Total Medicare Allowed Amount |
77947.64 |
Total Medicare Payment Amount |
56018.89 |
Total Medicare Standardized Payment Amount |
57634.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
2005 |
Total Drug Medicare AllowedAmount |
1116.28 |
Total Drug Medicare PaymentAmount |
1093.09 |
Total Drug Medicare Standardized Payment Amount |
1093.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
945 |
Number Of Medicare Beneficiaries With Medical Services |
381 |
Total Medical Submitted Charge Amount |
131983 |
Total Medical Medicare Allowed Amount |
76831.36 |
Total Medical Medicare Payment Amount |
54925.8 |
Total Medical Medicare Standardized Payment Amount |
56540.92 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
207 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7334 |