National Provider Identifier [NPI]: |
1366440117 |
Last Name Of The Provider |
LOCKSHIN |
First Name Of The Provider |
NORMAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10313 GEORGIA AVE |
Street Address 2 Of The Provider |
309 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209025006 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5834 |
Number Of Medicare Beneficiaries |
1566 |
Total Submitted Charge Amount |
882140 |
Total Medicare Allowed Amount |
448008.36 |
Total Medicare Payment Amount |
320594.51 |
Total Medicare Standardized Payment Amount |
277657.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
23485 |
Total Drug Medicare AllowedAmount |
18290.68 |
Total Drug Medicare PaymentAmount |
14338.44 |
Total Drug Medicare Standardized Payment Amount |
14338.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5737 |
Number Of Medicare Beneficiaries With Medical Services |
1566 |
Total Medical Submitted Charge Amount |
858655 |
Total Medical Medicare Allowed Amount |
429717.68 |
Total Medical Medicare Payment Amount |
306256.07 |
Total Medical Medicare Standardized Payment Amount |
263319.36 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
663 |
Number Of Beneficiaries Age 75 to 84 |
584 |
Number Of Beneficiaries Age Greater 84 |
297 |
Number Of Female Beneficiaries |
750 |
Number Of Male Beneficiaries |
816 |
Number Of Non Hispanic White Beneficiaries |
1431 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9251 |