National Provider Identifier [NPI]: |
1629154539 |
Last Name Of The Provider |
PARKHURST |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3110 GRACEFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209041820 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
6241 |
Number Of Medicare Beneficiaries |
676 |
Total Submitted Charge Amount |
309660.21 |
Total Medicare Allowed Amount |
309465.86 |
Total Medicare Payment Amount |
238423.92 |
Total Medicare Standardized Payment Amount |
215882.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2653 |
Number Of Medicare Beneficiaries With Drug Services |
304 |
Total Drug Submitted ChargeAmount |
42711.87 |
Total Drug Medicare AllowedAmount |
42685.88 |
Total Drug Medicare PaymentAmount |
35337.22 |
Total Drug Medicare Standardized Payment Amount |
35337.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3588 |
Number Of Medicare Beneficiaries With Medical Services |
676 |
Total Medical Submitted Charge Amount |
266948.34 |
Total Medical Medicare Allowed Amount |
266779.98 |
Total Medical Medicare Payment Amount |
203086.7 |
Total Medical Medicare Standardized Payment Amount |
180545.34 |
Average Age Of Beneficiaries |
87 |
Number Of Beneficiaries Age Less65 |
0 |
Number Of Beneficiaries Age 65 to 74 |
25 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
465 |
Number Of Female Beneficiaries |
450 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
614 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5811 |