National Provider Identifier [NPI]: |
1497752596 |
Last Name Of The Provider |
CUNNINGHAM |
First Name Of The Provider |
BETH |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 RIDGELY AVE 10 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214011417 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
4346 |
Number Of Medicare Beneficiaries |
1469 |
Total Submitted Charge Amount |
973864 |
Total Medicare Allowed Amount |
598739 |
Total Medicare Payment Amount |
428509.32 |
Total Medicare Standardized Payment Amount |
404308.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4346 |
Number Of Medicare Beneficiaries With Medical Services |
1469 |
Total Medical Submitted Charge Amount |
973864 |
Total Medical Medicare Allowed Amount |
598739 |
Total Medical Medicare Payment Amount |
428509.32 |
Total Medical Medicare Standardized Payment Amount |
404308.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
700 |
Number Of Beneficiaries Age 75 to 84 |
498 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
917 |
Number Of Male Beneficiaries |
552 |
Number Of Non Hispanic White Beneficiaries |
779 |
Number Of Black or African American Beneficiaries |
611 |
Number Of AsianPacific Islander Beneficiaries |
43 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0709 |