National Provider Identifier [NPI]: |
1770510711 |
Last Name Of The Provider |
WINTHROP |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7253 AMBASSADOR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212442710 |
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 |
108 |
Number Of Services |
13304 |
Number Of Medicare Beneficiaries |
2316 |
Total Submitted Charge Amount |
2280728.3 |
Total Medicare Allowed Amount |
565143.83 |
Total Medicare Payment Amount |
431214.39 |
Total Medicare Standardized Payment Amount |
409197.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10338 |
Number Of Medicare Beneficiaries With Drug Services |
396 |
Total Drug Submitted ChargeAmount |
17196.86 |
Total Drug Medicare AllowedAmount |
11777.57 |
Total Drug Medicare PaymentAmount |
8491.84 |
Total Drug Medicare Standardized Payment Amount |
8491.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
2966 |
Number Of Medicare Beneficiaries With Medical Services |
2316 |
Total Medical Submitted Charge Amount |
2263531.44 |
Total Medical Medicare Allowed Amount |
553366.26 |
Total Medical Medicare Payment Amount |
422722.55 |
Total Medical Medicare Standardized Payment Amount |
400705.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
370 |
Number Of Beneficiaries Age 65 to 74 |
907 |
Number Of Beneficiaries Age 75 to 84 |
710 |
Number Of Beneficiaries Age Greater 84 |
329 |
Number Of Female Beneficiaries |
1434 |
Number Of Male Beneficiaries |
882 |
Number Of Non Hispanic White Beneficiaries |
1922 |
Number Of Black or African American Beneficiaries |
326 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
334 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.4408 |