| National Provider Identifier [NPI]: | 1316169758 |
| Last Name Of The Provider | LONERGAN |
| First Name Of The Provider | CHERYL |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 810 LANDMARK DR. |
| Street Address 2 Of The Provider | SUITE 217 |
| City Of The Provider | GLEN BURNIE |
| Zip Code Of The Provider | 21061 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 50 |
| Number Of Services | 9404 |
| Number Of Medicare Beneficiaries | 4509 |
| Total Submitted Charge Amount | 1403602 |
| Total Medicare Allowed Amount | 724063.58 |
| Total Medicare Payment Amount | 540991.93 |
| Total Medicare Standardized Payment Amount | 389797.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 42 |
| Number Of Medicare Beneficiaries With Drug Services | 32 |
| Total Drug Submitted ChargeAmount | 13650 |
| Total Drug Medicare AllowedAmount | 10176.52 |
| Total Drug Medicare PaymentAmount | 7976.78 |
| Total Drug Medicare Standardized Payment Amount | 7976.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 49 |
| Number Of Medical Services | 9362 |
| Number Of Medicare Beneficiaries With Medical Services | 4509 |
| Total Medical Submitted Charge Amount | 1389952 |
| Total Medical Medicare Allowed Amount | 713887.06 |
| Total Medical Medicare Payment Amount | 533015.15 |
| Total Medical Medicare Standardized Payment Amount | 381820.26 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 171 |
| Number Of Beneficiaries Age 65 to 74 | 2176 |
| Number Of Beneficiaries Age 75 to 84 | 1490 |
| Number Of Beneficiaries Age Greater 84 | 672 |
| Number Of Female Beneficiaries | 2219 |
| Number Of Male Beneficiaries | 2290 |
| Number Of Non Hispanic White Beneficiaries | 4365 |
| Number Of Black or African American Beneficiaries | 42 |
| Number Of AsianPacific Islander Beneficiaries | 12 |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 63 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4378 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 131 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9999 |