National Provider Identifier [NPI]: |
1295736783 |
Last Name Of The Provider |
SAVADEL |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10755 FALLS RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LUTHERVILLE |
Zip Code Of The Provider |
210934515 |
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 |
69 |
Number Of Services |
5381 |
Number Of Medicare Beneficiaries |
389 |
Total Submitted Charge Amount |
256240.04 |
Total Medicare Allowed Amount |
151433.76 |
Total Medicare Payment Amount |
121850.16 |
Total Medicare Standardized Payment Amount |
121132.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
234 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
11966 |
Total Drug Medicare AllowedAmount |
7662.13 |
Total Drug Medicare PaymentAmount |
7080.09 |
Total Drug Medicare Standardized Payment Amount |
7080.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
5147 |
Number Of Medicare Beneficiaries With Medical Services |
388 |
Total Medical Submitted Charge Amount |
244274.04 |
Total Medical Medicare Allowed Amount |
143771.63 |
Total Medical Medicare Payment Amount |
114770.07 |
Total Medical Medicare Standardized Payment Amount |
114052.63 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
86 |
Number Of Non Hispanic White Beneficiaries |
350 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.886 |