National Provider Identifier [NPI]: |
1447291216 |
Last Name Of The Provider |
DUA |
First Name Of The Provider |
VINEET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3407 WILKENS AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212295072 |
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 |
49 |
Number Of Services |
5305 |
Number Of Medicare Beneficiaries |
1811 |
Total Submitted Charge Amount |
1011624.32 |
Total Medicare Allowed Amount |
535766.07 |
Total Medicare Payment Amount |
410285.87 |
Total Medicare Standardized Payment Amount |
389044.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
886 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
47432.36 |
Total Drug Medicare AllowedAmount |
45463.93 |
Total Drug Medicare PaymentAmount |
35487.5 |
Total Drug Medicare Standardized Payment Amount |
35487.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4419 |
Number Of Medicare Beneficiaries With Medical Services |
1811 |
Total Medical Submitted Charge Amount |
964191.96 |
Total Medical Medicare Allowed Amount |
490302.14 |
Total Medical Medicare Payment Amount |
374798.37 |
Total Medical Medicare Standardized Payment Amount |
353556.87 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
666 |
Number Of Beneficiaries Age 75 to 84 |
553 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
1014 |
Number Of Male Beneficiaries |
797 |
Number Of Non Hispanic White Beneficiaries |
1128 |
Number Of Black or African American Beneficiaries |
620 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
346 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8151 |