National Provider Identifier [NPI]: |
1447258876 |
Last Name Of The Provider |
LOWDER |
First Name Of The Provider |
GERARD |
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 |
808 LANDMARK DR |
Street Address 2 Of The Provider |
SUITE 122 |
City Of The Provider |
GLEN BURNIE |
Zip Code Of The Provider |
210614983 |
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 |
27 |
Number Of Services |
4948 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
845561.64 |
Total Medicare Allowed Amount |
337580.6 |
Total Medicare Payment Amount |
259068.38 |
Total Medicare Standardized Payment Amount |
247240.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2101 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
60439.14 |
Total Drug Medicare AllowedAmount |
24123 |
Total Drug Medicare PaymentAmount |
18815.94 |
Total Drug Medicare Standardized Payment Amount |
18815.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2847 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
785122.5 |
Total Medical Medicare Allowed Amount |
313457.6 |
Total Medical Medicare Payment Amount |
240252.44 |
Total Medical Medicare Standardized Payment Amount |
228424.16 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
483 |
Number Of Black or African American Beneficiaries |
209 |
Number Of AsianPacific Islander Beneficiaries |
19 |
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 |
538 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.8778 |