National Provider Identifier [NPI]: |
1326232208 |
Last Name Of The Provider |
MEHRING |
First Name Of The Provider |
COLLETTE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
137 W HIGH ST |
Street Address 2 Of The Provider |
SUITE 1A |
City Of The Provider |
ELKTON |
Zip Code Of The Provider |
219218604 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
5256 |
Number Of Medicare Beneficiaries |
1012 |
Total Submitted Charge Amount |
754935 |
Total Medicare Allowed Amount |
415548.42 |
Total Medicare Payment Amount |
317131.45 |
Total Medicare Standardized Payment Amount |
314893.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1820 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
22383 |
Total Drug Medicare AllowedAmount |
19458.53 |
Total Drug Medicare PaymentAmount |
15303.37 |
Total Drug Medicare Standardized Payment Amount |
15303.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3436 |
Number Of Medicare Beneficiaries With Medical Services |
1012 |
Total Medical Submitted Charge Amount |
732552 |
Total Medical Medicare Allowed Amount |
396089.89 |
Total Medical Medicare Payment Amount |
301828.08 |
Total Medical Medicare Standardized Payment Amount |
299590.47 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
224 |
Number Of Beneficiaries Age 65 to 74 |
359 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
467 |
Number Of Male Beneficiaries |
545 |
Number Of Non Hispanic White Beneficiaries |
702 |
Number Of Black or African American Beneficiaries |
263 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
767 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
245 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.7815 |