National Provider Identifier [NPI]: |
1356409338 |
Last Name Of The Provider |
MAJETTE |
First Name Of The Provider |
MARIO |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10801 LOCKWOOD DR |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209011556 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
544 |
Number Of Medicare Beneficiaries |
233 |
Total Submitted Charge Amount |
92105.45 |
Total Medicare Allowed Amount |
48940.02 |
Total Medicare Payment Amount |
35078.72 |
Total Medicare Standardized Payment Amount |
31733.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
861.3 |
Total Drug Medicare AllowedAmount |
70.47 |
Total Drug Medicare PaymentAmount |
66.44 |
Total Drug Medicare Standardized Payment Amount |
66.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
517 |
Number Of Medicare Beneficiaries With Medical Services |
233 |
Total Medical Submitted Charge Amount |
91244.15 |
Total Medical Medicare Allowed Amount |
48869.55 |
Total Medical Medicare Payment Amount |
35012.28 |
Total Medical Medicare Standardized Payment Amount |
31667.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
150 |
Number Of Male Beneficiaries |
83 |
Number Of Non Hispanic White Beneficiaries |
140 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
193 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9302 |