National Provider Identifier [NPI]: |
1134216526 |
Last Name Of The Provider |
BLUM |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
95 MADISON AVE |
Street Address 2 Of The Provider |
STE A10 |
City Of The Provider |
MORRISTOWN |
Zip Code Of The Provider |
079606092 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
4182 |
Number Of Medicare Beneficiaries |
1559 |
Total Submitted Charge Amount |
750180 |
Total Medicare Allowed Amount |
324811.7 |
Total Medicare Payment Amount |
235242.46 |
Total Medicare Standardized Payment Amount |
216378.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4182 |
Number Of Medicare Beneficiaries With Medical Services |
1559 |
Total Medical Submitted Charge Amount |
750180 |
Total Medical Medicare Allowed Amount |
324811.7 |
Total Medical Medicare Payment Amount |
235242.46 |
Total Medical Medicare Standardized Payment Amount |
216378.29 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
613 |
Number Of Beneficiaries Age 75 to 84 |
587 |
Number Of Beneficiaries Age Greater 84 |
282 |
Number Of Female Beneficiaries |
676 |
Number Of Male Beneficiaries |
883 |
Number Of Non Hispanic White Beneficiaries |
1410 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1460 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
67 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6024 |