National Provider Identifier [NPI]: |
1922072198 |
Last Name Of The Provider |
SANDERS |
First Name Of The Provider |
REGINALD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7501 GREENWAY CENTER DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
GREENBELT |
Zip Code Of The Provider |
207703514 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
13596 |
Number Of Medicare Beneficiaries |
1316 |
Total Submitted Charge Amount |
2532309.53 |
Total Medicare Allowed Amount |
1737930.15 |
Total Medicare Payment Amount |
1327759.93 |
Total Medicare Standardized Payment Amount |
1237637.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2630 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
790561.53 |
Total Drug Medicare AllowedAmount |
724702.18 |
Total Drug Medicare PaymentAmount |
566809.11 |
Total Drug Medicare Standardized Payment Amount |
566809.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
10966 |
Number Of Medicare Beneficiaries With Medical Services |
1316 |
Total Medical Submitted Charge Amount |
1741748 |
Total Medical Medicare Allowed Amount |
1013227.97 |
Total Medical Medicare Payment Amount |
760950.82 |
Total Medical Medicare Standardized Payment Amount |
670828.54 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
442 |
Number Of Beneficiaries Age Greater 84 |
249 |
Number Of Female Beneficiaries |
783 |
Number Of Male Beneficiaries |
533 |
Number Of Non Hispanic White Beneficiaries |
729 |
Number Of Black or African American Beneficiaries |
495 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1207 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3272 |