National Provider Identifier [NPI]: |
1942341912 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3407 WILKENS AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212295072 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4478 |
Number Of Medicare Beneficiaries |
1942 |
Total Submitted Charge Amount |
752353.71 |
Total Medicare Allowed Amount |
396519.49 |
Total Medicare Payment Amount |
306751.25 |
Total Medicare Standardized Payment Amount |
290447.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
665 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
35691.46 |
Total Drug Medicare AllowedAmount |
34140.79 |
Total Drug Medicare PaymentAmount |
26766.26 |
Total Drug Medicare Standardized Payment Amount |
26766.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
3813 |
Number Of Medicare Beneficiaries With Medical Services |
1942 |
Total Medical Submitted Charge Amount |
716662.25 |
Total Medical Medicare Allowed Amount |
362378.7 |
Total Medical Medicare Payment Amount |
279984.99 |
Total Medical Medicare Standardized Payment Amount |
263681.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
306 |
Number Of Beneficiaries Age 65 to 74 |
629 |
Number Of Beneficiaries Age 75 to 84 |
579 |
Number Of Beneficiaries Age Greater 84 |
428 |
Number Of Female Beneficiaries |
1102 |
Number Of Male Beneficiaries |
840 |
Number Of Non Hispanic White Beneficiaries |
1154 |
Number Of Black or African American Beneficiaries |
724 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1480 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
462 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0778 |