National Provider Identifier [NPI]: |
1245225226 |
Last Name Of The Provider |
WARD |
First Name Of The Provider |
FRANCISCO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3350 WILKENS AVE |
Street Address 2 Of The Provider |
SETON PAIN & REHAB CENTER STE 101 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212294600 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
4425 |
Number Of Medicare Beneficiaries |
464 |
Total Submitted Charge Amount |
727874.7 |
Total Medicare Allowed Amount |
440350.53 |
Total Medicare Payment Amount |
323954.88 |
Total Medicare Standardized Payment Amount |
308860.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
420 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
19355 |
Total Drug Medicare AllowedAmount |
6594.68 |
Total Drug Medicare PaymentAmount |
5140.76 |
Total Drug Medicare Standardized Payment Amount |
5140.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4005 |
Number Of Medicare Beneficiaries With Medical Services |
464 |
Total Medical Submitted Charge Amount |
708519.7 |
Total Medical Medicare Allowed Amount |
433755.85 |
Total Medical Medicare Payment Amount |
318814.12 |
Total Medical Medicare Standardized Payment Amount |
303719.26 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
141 |
Number Of Non Hispanic White Beneficiaries |
317 |
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 |
338 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.623 |