National Provider Identifier [NPI]: |
1275537896 |
Last Name Of The Provider |
NOBLE |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
122 SPEER RD |
Street Address 2 Of The Provider |
STE 5 |
City Of The Provider |
CHESTERTOWN |
Zip Code Of The Provider |
216201033 |
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 |
56 |
Number Of Services |
8825 |
Number Of Medicare Beneficiaries |
780 |
Total Submitted Charge Amount |
548664.19 |
Total Medicare Allowed Amount |
396909.3 |
Total Medicare Payment Amount |
296623.81 |
Total Medicare Standardized Payment Amount |
286112.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2945 |
Number Of Medicare Beneficiaries With Drug Services |
297 |
Total Drug Submitted ChargeAmount |
60001.78 |
Total Drug Medicare AllowedAmount |
51975.96 |
Total Drug Medicare PaymentAmount |
43302.74 |
Total Drug Medicare Standardized Payment Amount |
43302.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
5880 |
Number Of Medicare Beneficiaries With Medical Services |
780 |
Total Medical Submitted Charge Amount |
488662.41 |
Total Medical Medicare Allowed Amount |
344933.34 |
Total Medical Medicare Payment Amount |
253321.07 |
Total Medical Medicare Standardized Payment Amount |
242809.67 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
609 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
705 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
695 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1275 |