National Provider Identifier [NPI]: |
1376687780 |
Last Name Of The Provider |
RADOLINSKI |
First Name Of The Provider |
BARTHOLOMEW |
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 |
6410 ROCKLEDGE DR |
Street Address 2 Of The Provider |
SUITE 503 |
City Of The Provider |
BETHESDA |
Zip Code Of The Provider |
208171809 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
3183 |
Number Of Medicare Beneficiaries |
486 |
Total Submitted Charge Amount |
659066.02 |
Total Medicare Allowed Amount |
272548.01 |
Total Medicare Payment Amount |
204253.04 |
Total Medicare Standardized Payment Amount |
189180.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
179 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
39110 |
Total Drug Medicare AllowedAmount |
15402.1 |
Total Drug Medicare PaymentAmount |
12075.3 |
Total Drug Medicare Standardized Payment Amount |
12075.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3004 |
Number Of Medicare Beneficiaries With Medical Services |
486 |
Total Medical Submitted Charge Amount |
619956.02 |
Total Medical Medicare Allowed Amount |
257145.91 |
Total Medical Medicare Payment Amount |
192177.74 |
Total Medical Medicare Standardized Payment Amount |
177104.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
103 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
395 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0968 |