National Provider Identifier [NPI]: |
1437294113 |
Last Name Of The Provider |
CARTER |
First Name Of The Provider |
MAYA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
122 DEFENSE HWY |
Street Address 2 Of The Provider |
STE 210 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214017069 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
24007 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
1481520.65 |
Total Medicare Allowed Amount |
566012.51 |
Total Medicare Payment Amount |
416589.09 |
Total Medicare Standardized Payment Amount |
409987.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
22962 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
962110.56 |
Total Drug Medicare AllowedAmount |
333883.11 |
Total Drug Medicare PaymentAmount |
240136.89 |
Total Drug Medicare Standardized Payment Amount |
240136.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1045 |
Number Of Medicare Beneficiaries With Medical Services |
417 |
Total Medical Submitted Charge Amount |
519410.09 |
Total Medical Medicare Allowed Amount |
232129.4 |
Total Medical Medicare Payment Amount |
176452.2 |
Total Medical Medicare Standardized Payment Amount |
169851 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
254 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
344 |
Number Of Black or African American Beneficiaries |
60 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
367 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.1628 |