| National Provider Identifier [NPI]: | 1861461220 |
| Last Name Of The Provider | HAUPTMAN |
| First Name Of The Provider | HOWARD |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1220B E JOPPA RD |
| Street Address 2 Of The Provider | SUITE 310 |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212865813 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Rheumatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 67 |
| Number Of Services | 142581 |
| Number Of Medicare Beneficiaries | 1106 |
| Total Submitted Charge Amount | 8160900.5 |
| Total Medicare Allowed Amount | 4433933.3 |
| Total Medicare Payment Amount | 3375907.42 |
| Total Medicare Standardized Payment Amount | 3346889.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 25 |
| Number Of Drug Services | 133540 |
| Number Of Medicare Beneficiaries With Drug Services | 458 |
| Total Drug Submitted ChargeAmount | 6419834.5 |
| Total Drug Medicare AllowedAmount | 3955513.47 |
| Total Drug Medicare PaymentAmount | 3016016.32 |
| Total Drug Medicare Standardized Payment Amount | 3016016.32 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 42 |
| Number Of Medical Services | 9041 |
| Number Of Medicare Beneficiaries With Medical Services | 1106 |
| Total Medical Submitted Charge Amount | 1741066 |
| Total Medical Medicare Allowed Amount | 478419.83 |
| Total Medical Medicare Payment Amount | 359891.1 |
| Total Medical Medicare Standardized Payment Amount | 330873.63 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 182 |
| Number Of Beneficiaries Age 65 to 74 | 535 |
| Number Of Beneficiaries Age 75 to 84 | 289 |
| Number Of Beneficiaries Age Greater 84 | 100 |
| Number Of Female Beneficiaries | 819 |
| Number Of Male Beneficiaries | 287 |
| Number Of Non Hispanic White Beneficiaries | 974 |
| Number Of Black or African American Beneficiaries | 101 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1028 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 78 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 21 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2751 |