National Provider Identifier [NPI]: |
1780685073 |
Last Name Of The Provider |
HARMS |
First Name Of The Provider |
JAMIE |
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 |
125 SHOREWAY DR |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
QUEENSTOWN |
Zip Code Of The Provider |
216581666 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
4072 |
Number Of Medicare Beneficiaries |
494 |
Total Submitted Charge Amount |
258862 |
Total Medicare Allowed Amount |
151266.33 |
Total Medicare Payment Amount |
109425.83 |
Total Medicare Standardized Payment Amount |
109060.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
415 |
Number Of Medicare Beneficiaries With Drug Services |
224 |
Total Drug Submitted ChargeAmount |
16380 |
Total Drug Medicare AllowedAmount |
10496.48 |
Total Drug Medicare PaymentAmount |
9953.03 |
Total Drug Medicare Standardized Payment Amount |
9953.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
3657 |
Number Of Medicare Beneficiaries With Medical Services |
494 |
Total Medical Submitted Charge Amount |
242482 |
Total Medical Medicare Allowed Amount |
140769.85 |
Total Medical Medicare Payment Amount |
99472.8 |
Total Medical Medicare Standardized Payment Amount |
99107.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
462 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
453 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9183 |