National Provider Identifier [NPI]: |
1497774699 |
Last Name Of The Provider |
UNGAR |
First Name Of The Provider |
BETH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 NEW MEXICO AVE NW |
Street Address 2 Of The Provider |
SUITE 342 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200163622 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
3788 |
Number Of Medicare Beneficiaries |
173 |
Total Submitted Charge Amount |
161299.04 |
Total Medicare Allowed Amount |
107223.52 |
Total Medicare Payment Amount |
83926.59 |
Total Medicare Standardized Payment Amount |
82079.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1587 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
40675.96 |
Total Drug Medicare AllowedAmount |
39213.09 |
Total Drug Medicare PaymentAmount |
29744.84 |
Total Drug Medicare Standardized Payment Amount |
29744.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2201 |
Number Of Medicare Beneficiaries With Medical Services |
173 |
Total Medical Submitted Charge Amount |
120623.08 |
Total Medical Medicare Allowed Amount |
68010.43 |
Total Medical Medicare Payment Amount |
54181.75 |
Total Medical Medicare Standardized Payment Amount |
52334.19 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
38 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
26 |
Number Of Non Hispanic White Beneficiaries |
156 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
0 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7546 |