National Provider Identifier [NPI]: |
1194793877 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10710 CHARTER DR |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
210442858 |
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 |
52 |
Number Of Services |
7637 |
Number Of Medicare Beneficiaries |
2709 |
Total Submitted Charge Amount |
1801287.5 |
Total Medicare Allowed Amount |
569094.77 |
Total Medicare Payment Amount |
427230.17 |
Total Medicare Standardized Payment Amount |
405703.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
847 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
26937.5 |
Total Drug Medicare AllowedAmount |
20410.44 |
Total Drug Medicare PaymentAmount |
15746.21 |
Total Drug Medicare Standardized Payment Amount |
15746.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
6790 |
Number Of Medicare Beneficiaries With Medical Services |
2709 |
Total Medical Submitted Charge Amount |
1774350 |
Total Medical Medicare Allowed Amount |
548684.33 |
Total Medical Medicare Payment Amount |
411483.96 |
Total Medical Medicare Standardized Payment Amount |
389956.97 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
958 |
Number Of Beneficiaries Age 75 to 84 |
945 |
Number Of Beneficiaries Age Greater 84 |
573 |
Number Of Female Beneficiaries |
1522 |
Number Of Male Beneficiaries |
1187 |
Number Of Non Hispanic White Beneficiaries |
1932 |
Number Of Black or African American Beneficiaries |
506 |
Number Of AsianPacific Islander Beneficiaries |
184 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
2254 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
455 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7102 |