National Provider Identifier [NPI]: |
1861561730 |
Last Name Of The Provider |
JAMES |
First Name Of The Provider |
ROBYN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11701 LIVINGSTON RD |
Street Address 2 Of The Provider |
302 |
City Of The Provider |
FORT WASHINGTON |
Zip Code Of The Provider |
207445104 |
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 |
67 |
Number Of Services |
5314 |
Number Of Medicare Beneficiaries |
800 |
Total Submitted Charge Amount |
536238 |
Total Medicare Allowed Amount |
326322.44 |
Total Medicare Payment Amount |
240160.7 |
Total Medicare Standardized Payment Amount |
218315.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
429 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
1287 |
Total Drug Medicare AllowedAmount |
766.53 |
Total Drug Medicare PaymentAmount |
552.3 |
Total Drug Medicare Standardized Payment Amount |
552.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4885 |
Number Of Medicare Beneficiaries With Medical Services |
800 |
Total Medical Submitted Charge Amount |
534951 |
Total Medical Medicare Allowed Amount |
325555.91 |
Total Medical Medicare Payment Amount |
239608.4 |
Total Medical Medicare Standardized Payment Amount |
217762.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
412 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
280 |
Number Of Non Hispanic White Beneficiaries |
449 |
Number Of Black or African American Beneficiaries |
311 |
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 |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0968 |