National Provider Identifier [NPI]: |
1144226325 |
Last Name Of The Provider |
SILVERMAN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 SEVEN LOCKS RD |
Street Address 2 Of The Provider |
STE 111 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208542957 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
5374 |
Number Of Medicare Beneficiaries |
504 |
Total Submitted Charge Amount |
637442 |
Total Medicare Allowed Amount |
211871.68 |
Total Medicare Payment Amount |
170996.83 |
Total Medicare Standardized Payment Amount |
159649.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
356 |
Number Of Medicare Beneficiaries With Drug Services |
222 |
Total Drug Submitted ChargeAmount |
47169 |
Total Drug Medicare AllowedAmount |
28604.57 |
Total Drug Medicare PaymentAmount |
27431.11 |
Total Drug Medicare Standardized Payment Amount |
27431.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
5018 |
Number Of Medicare Beneficiaries With Medical Services |
504 |
Total Medical Submitted Charge Amount |
590273 |
Total Medical Medicare Allowed Amount |
183267.11 |
Total Medical Medicare Payment Amount |
143565.72 |
Total Medical Medicare Standardized Payment Amount |
132218.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
201 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
428 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8763 |