National Provider Identifier [NPI]: |
1588779672 |
Last Name Of The Provider |
MARCUS |
First Name Of The Provider |
ROGER |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1814 BEL AIR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FALLSTON |
Zip Code Of The Provider |
210472734 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
47415 |
Number Of Medicare Beneficiaries |
670 |
Total Submitted Charge Amount |
2622744 |
Total Medicare Allowed Amount |
1741350.14 |
Total Medicare Payment Amount |
1337428.61 |
Total Medicare Standardized Payment Amount |
1318305.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
40380 |
Number Of Medicare Beneficiaries With Drug Services |
296 |
Total Drug Submitted ChargeAmount |
1735401 |
Total Drug Medicare AllowedAmount |
1328207.53 |
Total Drug Medicare PaymentAmount |
1029293.06 |
Total Drug Medicare Standardized Payment Amount |
1029293.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
7035 |
Number Of Medicare Beneficiaries With Medical Services |
670 |
Total Medical Submitted Charge Amount |
887343 |
Total Medical Medicare Allowed Amount |
413142.61 |
Total Medical Medicare Payment Amount |
308135.55 |
Total Medical Medicare Standardized Payment Amount |
289012.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
476 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
613 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
607 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
30 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3539 |