National Provider Identifier [NPI]: |
1518942390 |
Last Name Of The Provider |
DESMARAIS |
First Name Of The Provider |
RENE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 EASTERN SHORE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
218045565 |
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 |
64 |
Number Of Services |
7264 |
Number Of Medicare Beneficiaries |
2345 |
Total Submitted Charge Amount |
1011570.25 |
Total Medicare Allowed Amount |
726501.53 |
Total Medicare Payment Amount |
557838.64 |
Total Medicare Standardized Payment Amount |
544698.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
749 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
40930.6 |
Total Drug Medicare AllowedAmount |
39591.46 |
Total Drug Medicare PaymentAmount |
30755.36 |
Total Drug Medicare Standardized Payment Amount |
30755.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
6515 |
Number Of Medicare Beneficiaries With Medical Services |
2341 |
Total Medical Submitted Charge Amount |
970639.65 |
Total Medical Medicare Allowed Amount |
686910.07 |
Total Medical Medicare Payment Amount |
527083.28 |
Total Medical Medicare Standardized Payment Amount |
513942.65 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
255 |
Number Of Beneficiaries Age 65 to 74 |
831 |
Number Of Beneficiaries Age 75 to 84 |
829 |
Number Of Beneficiaries Age Greater 84 |
430 |
Number Of Female Beneficiaries |
1169 |
Number Of Male Beneficiaries |
1176 |
Number Of Non Hispanic White Beneficiaries |
1940 |
Number Of Black or African American Beneficiaries |
371 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1904 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
441 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8227 |