National Provider Identifier [NPI]: |
1558413971 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15225 SHADY GROVE RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503254 |
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 |
75 |
Number Of Services |
3522 |
Number Of Medicare Beneficiaries |
1044 |
Total Submitted Charge Amount |
943920.92 |
Total Medicare Allowed Amount |
392637.44 |
Total Medicare Payment Amount |
293533.46 |
Total Medicare Standardized Payment Amount |
264823.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
8580 |
Total Drug Medicare AllowedAmount |
6998.25 |
Total Drug Medicare PaymentAmount |
5486.57 |
Total Drug Medicare Standardized Payment Amount |
5486.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3390 |
Number Of Medicare Beneficiaries With Medical Services |
1044 |
Total Medical Submitted Charge Amount |
935340.92 |
Total Medical Medicare Allowed Amount |
385639.19 |
Total Medical Medicare Payment Amount |
288046.89 |
Total Medical Medicare Standardized Payment Amount |
259336.58 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
360 |
Number Of Beneficiaries Age Greater 84 |
239 |
Number Of Female Beneficiaries |
573 |
Number Of Male Beneficiaries |
471 |
Number Of Non Hispanic White Beneficiaries |
688 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
164 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
829 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4198 |