National Provider Identifier [NPI]: |
1144216011 |
Last Name Of The Provider |
SEFF |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19 FONTANA LN |
Street Address 2 Of The Provider |
SUITE 108 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212373047 |
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 |
33 |
Number Of Services |
4054 |
Number Of Medicare Beneficiaries |
1641 |
Total Submitted Charge Amount |
857135 |
Total Medicare Allowed Amount |
555794.1 |
Total Medicare Payment Amount |
393930.03 |
Total Medicare Standardized Payment Amount |
369949 |
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 |
33 |
Number Of Medical Services |
4054 |
Number Of Medicare Beneficiaries With Medical Services |
1641 |
Total Medical Submitted Charge Amount |
857135 |
Total Medical Medicare Allowed Amount |
555794.1 |
Total Medical Medicare Payment Amount |
393930.03 |
Total Medical Medicare Standardized Payment Amount |
369949 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
576 |
Number Of Beneficiaries Age 75 to 84 |
651 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1043 |
Number Of Male Beneficiaries |
598 |
Number Of Non Hispanic White Beneficiaries |
1479 |
Number Of Black or African American Beneficiaries |
100 |
Number Of AsianPacific Islander Beneficiaries |
25 |
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 |
1558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1346 |