National Provider Identifier [NPI]: |
1144291022 |
Last Name Of The Provider |
ERKMEN |
First Name Of The Provider |
ZAHIDE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20410 OBSERVATION DR |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
208764000 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
2405 |
Number Of Medicare Beneficiaries |
1442 |
Total Submitted Charge Amount |
634280 |
Total Medicare Allowed Amount |
111484.34 |
Total Medicare Payment Amount |
86570.12 |
Total Medicare Standardized Payment Amount |
79611.42 |
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 |
174 |
Number Of Medical Services |
2405 |
Number Of Medicare Beneficiaries With Medical Services |
1442 |
Total Medical Submitted Charge Amount |
634280 |
Total Medical Medicare Allowed Amount |
111484.34 |
Total Medical Medicare Payment Amount |
86570.12 |
Total Medical Medicare Standardized Payment Amount |
79611.42 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
172 |
Number Of Beneficiaries Age 65 to 74 |
465 |
Number Of Beneficiaries Age 75 to 84 |
458 |
Number Of Beneficiaries Age Greater 84 |
347 |
Number Of Female Beneficiaries |
851 |
Number Of Male Beneficiaries |
591 |
Number Of Non Hispanic White Beneficiaries |
876 |
Number Of Black or African American Beneficiaries |
242 |
Number Of AsianPacific Islander Beneficiaries |
189 |
Number Of Hispanic Beneficiaries |
107 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
989 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
453 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.9953 |