National Provider Identifier [NPI]: |
1457387458 |
Last Name Of The Provider |
ODAR |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15225 SHADY GROVE RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503254 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
5840 |
Number Of Medicare Beneficiaries |
1823 |
Total Submitted Charge Amount |
1358916.59 |
Total Medicare Allowed Amount |
652607.48 |
Total Medicare Payment Amount |
493555.17 |
Total Medicare Standardized Payment Amount |
435004.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
524 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
34060 |
Total Drug Medicare AllowedAmount |
27745.59 |
Total Drug Medicare PaymentAmount |
21752.37 |
Total Drug Medicare Standardized Payment Amount |
21752.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5316 |
Number Of Medicare Beneficiaries With Medical Services |
1823 |
Total Medical Submitted Charge Amount |
1324856.59 |
Total Medical Medicare Allowed Amount |
624861.89 |
Total Medical Medicare Payment Amount |
471802.8 |
Total Medical Medicare Standardized Payment Amount |
413252.44 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
661 |
Number Of Beneficiaries Age 75 to 84 |
609 |
Number Of Beneficiaries Age Greater 84 |
397 |
Number Of Female Beneficiaries |
972 |
Number Of Male Beneficiaries |
851 |
Number Of Non Hispanic White Beneficiaries |
1266 |
Number Of Black or African American Beneficiaries |
227 |
Number Of AsianPacific Islander Beneficiaries |
164 |
Number Of Hispanic Beneficiaries |
115 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1424 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
399 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.525 |