National Provider Identifier [NPI]: |
1962662569 |
Last Name Of The Provider |
SWANSON-APOLLON |
First Name Of The Provider |
JOCELYN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., MPH |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
826 WASHINGTON RD |
Street Address 2 Of The Provider |
SUITE 110A |
City Of The Provider |
WESTMINSTER |
Zip Code Of The Provider |
211575750 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
1513 |
Number Of Medicare Beneficiaries |
627 |
Total Submitted Charge Amount |
236244.15 |
Total Medicare Allowed Amount |
130522.26 |
Total Medicare Payment Amount |
96287.9 |
Total Medicare Standardized Payment Amount |
91250.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
151 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
3559.5 |
Total Drug Medicare AllowedAmount |
792.94 |
Total Drug Medicare PaymentAmount |
648.49 |
Total Drug Medicare Standardized Payment Amount |
648.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
1362 |
Number Of Medicare Beneficiaries With Medical Services |
627 |
Total Medical Submitted Charge Amount |
232684.65 |
Total Medical Medicare Allowed Amount |
129729.32 |
Total Medical Medicare Payment Amount |
95639.41 |
Total Medical Medicare Standardized Payment Amount |
90602.01 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
561 |
Number Of Black or African American Beneficiaries |
41 |
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 |
492 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0061 |