National Provider Identifier [NPI]: |
1720020605 |
Last Name Of The Provider |
FLYNN |
First Name Of The Provider |
MEGAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9114 PHILADELPHIA RD |
Street Address 2 Of The Provider |
SUITE 108 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212374345 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
2013 |
Number Of Medicare Beneficiaries |
317 |
Total Submitted Charge Amount |
424917.22 |
Total Medicare Allowed Amount |
182280.89 |
Total Medicare Payment Amount |
142549.92 |
Total Medicare Standardized Payment Amount |
166849.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
275 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
2895.9 |
Total Drug Medicare AllowedAmount |
1070.9 |
Total Drug Medicare PaymentAmount |
963.91 |
Total Drug Medicare Standardized Payment Amount |
963.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
1738 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
422021.32 |
Total Medical Medicare Allowed Amount |
181209.99 |
Total Medical Medicare Payment Amount |
141586.01 |
Total Medical Medicare Standardized Payment Amount |
165885.3 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
290 |
Number Of Black or African American Beneficiaries |
13 |
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 |
161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
28 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9941 |