National Provider Identifier [NPI]: |
1881806578 |
Last Name Of The Provider |
SCHLAMMINGER |
First Name Of The Provider |
MONIKA |
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 |
1201 SEVEN LOCKS RD |
Street Address 2 Of The Provider |
SUITE 111 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208542931 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
930 |
Number Of Medicare Beneficiaries |
139 |
Total Submitted Charge Amount |
149686 |
Total Medicare Allowed Amount |
48967.53 |
Total Medicare Payment Amount |
40800.11 |
Total Medicare Standardized Payment Amount |
37504.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
90 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
10593 |
Total Drug Medicare AllowedAmount |
6199.22 |
Total Drug Medicare PaymentAmount |
6072.25 |
Total Drug Medicare Standardized Payment Amount |
6072.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
840 |
Number Of Medicare Beneficiaries With Medical Services |
138 |
Total Medical Submitted Charge Amount |
139093 |
Total Medical Medicare Allowed Amount |
42768.31 |
Total Medical Medicare Payment Amount |
34727.86 |
Total Medical Medicare Standardized Payment Amount |
31432.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
108 |
Number Of Male Beneficiaries |
31 |
Number Of Non Hispanic White Beneficiaries |
115 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
19 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8443 |