National Provider Identifier [NPI]: |
1760421929 |
Last Name Of The Provider |
ELMAN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9101 FRANKLIN SQUARE DR |
Street Address 2 Of The Provider |
SUITE 108 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212373936 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
30712 |
Number Of Medicare Beneficiaries |
1718 |
Total Submitted Charge Amount |
16804987 |
Total Medicare Allowed Amount |
7091179.35 |
Total Medicare Payment Amount |
5476613.15 |
Total Medicare Standardized Payment Amount |
5400915.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
13289 |
Number Of Medicare Beneficiaries With Drug Services |
491 |
Total Drug Submitted ChargeAmount |
13674990 |
Total Drug Medicare AllowedAmount |
5360265.18 |
Total Drug Medicare PaymentAmount |
4163036.28 |
Total Drug Medicare Standardized Payment Amount |
4163036.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
17423 |
Number Of Medicare Beneficiaries With Medical Services |
1716 |
Total Medical Submitted Charge Amount |
3129997 |
Total Medical Medicare Allowed Amount |
1730914.17 |
Total Medical Medicare Payment Amount |
1313576.87 |
Total Medical Medicare Standardized Payment Amount |
1237879.3 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
604 |
Number Of Beneficiaries Age 75 to 84 |
634 |
Number Of Beneficiaries Age Greater 84 |
410 |
Number Of Female Beneficiaries |
1021 |
Number Of Male Beneficiaries |
697 |
Number Of Non Hispanic White Beneficiaries |
1471 |
Number Of Black or African American Beneficiaries |
169 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1595 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2989 |