National Provider Identifier [NPI]: |
1366411183 |
Last Name Of The Provider |
SALMON |
First Name Of The Provider |
DUNCAN |
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 |
5051 GREENSPRING AVE STE 304 |
Street Address 2 Of The Provider |
MICHEL MIROWSKI MEDICAL OFFICE BUILDING AT SINAI |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212094358 |
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 |
55 |
Number Of Services |
5642 |
Number Of Medicare Beneficiaries |
1494 |
Total Submitted Charge Amount |
1531436 |
Total Medicare Allowed Amount |
602615.58 |
Total Medicare Payment Amount |
457434.8 |
Total Medicare Standardized Payment Amount |
429962.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
476 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
35700 |
Total Drug Medicare AllowedAmount |
25048.63 |
Total Drug Medicare PaymentAmount |
19637.98 |
Total Drug Medicare Standardized Payment Amount |
19637.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
5166 |
Number Of Medicare Beneficiaries With Medical Services |
1494 |
Total Medical Submitted Charge Amount |
1495736 |
Total Medical Medicare Allowed Amount |
577566.95 |
Total Medical Medicare Payment Amount |
437796.82 |
Total Medical Medicare Standardized Payment Amount |
410324.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
504 |
Number Of Beneficiaries Age 75 to 84 |
496 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
814 |
Number Of Male Beneficiaries |
680 |
Number Of Non Hispanic White Beneficiaries |
748 |
Number Of Black or African American Beneficiaries |
697 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1203 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.895 |