National Provider Identifier [NPI]: |
1164458873 |
Last Name Of The Provider |
FINZI |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7701 GREENBELT RD |
Street Address 2 Of The Provider |
504 |
City Of The Provider |
GREENBELT |
Zip Code Of The Provider |
207702037 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
5372 |
Number Of Medicare Beneficiaries |
999 |
Total Submitted Charge Amount |
967275.91 |
Total Medicare Allowed Amount |
653066.17 |
Total Medicare Payment Amount |
497590.03 |
Total Medicare Standardized Payment Amount |
414430.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
140 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
4723 |
Total Drug Medicare AllowedAmount |
3374.47 |
Total Drug Medicare PaymentAmount |
2487.43 |
Total Drug Medicare Standardized Payment Amount |
2487.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
5232 |
Number Of Medicare Beneficiaries With Medical Services |
999 |
Total Medical Submitted Charge Amount |
962552.91 |
Total Medical Medicare Allowed Amount |
649691.7 |
Total Medical Medicare Payment Amount |
495102.6 |
Total Medical Medicare Standardized Payment Amount |
411942.59 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
484 |
Number Of Non Hispanic White Beneficiaries |
829 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
949 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0306 |