National Provider Identifier [NPI]: |
1730110966 |
Last Name Of The Provider |
LOEB |
First Name Of The Provider |
ROBERT |
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 |
1105 N POINT BLVD |
Street Address 2 Of The Provider |
SUITE 323 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212243419 |
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 |
15 |
Number Of Services |
2317 |
Number Of Medicare Beneficiaries |
1397 |
Total Submitted Charge Amount |
584745 |
Total Medicare Allowed Amount |
333974.56 |
Total Medicare Payment Amount |
240571.91 |
Total Medicare Standardized Payment Amount |
226132.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
2317 |
Number Of Medicare Beneficiaries With Medical Services |
1397 |
Total Medical Submitted Charge Amount |
584745 |
Total Medical Medicare Allowed Amount |
333974.56 |
Total Medical Medicare Payment Amount |
240571.91 |
Total Medical Medicare Standardized Payment Amount |
226132.33 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
581 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
849 |
Number Of Male Beneficiaries |
548 |
Number Of Non Hispanic White Beneficiaries |
1245 |
Number Of Black or African American Beneficiaries |
95 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1239 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.129 |