National Provider Identifier [NPI]: |
1063411106 |
Last Name Of The Provider |
URQUHART |
First Name Of The Provider |
JOANN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9711 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503323 |
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 |
25 |
Number Of Services |
4853 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
2651497.66 |
Total Medicare Allowed Amount |
721489.09 |
Total Medicare Payment Amount |
544991.68 |
Total Medicare Standardized Payment Amount |
499972.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
72 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
3977.76 |
Total Drug Medicare AllowedAmount |
3810.73 |
Total Drug Medicare PaymentAmount |
2864.78 |
Total Drug Medicare Standardized Payment Amount |
2864.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
4781 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
2647519.9 |
Total Medical Medicare Allowed Amount |
717678.36 |
Total Medical Medicare Payment Amount |
542126.9 |
Total Medical Medicare Standardized Payment Amount |
497107.53 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
123 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
320 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
17 |
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 |
348 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2582 |