National Provider Identifier [NPI]: |
1033103775 |
Last Name Of The Provider |
SILVERSTEIN |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
805 S UNION AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAVRE DE GRACE |
Zip Code Of The Provider |
210783610 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5673 |
Number Of Medicare Beneficiaries |
557 |
Total Submitted Charge Amount |
383004.68 |
Total Medicare Allowed Amount |
237364.85 |
Total Medicare Payment Amount |
177449.81 |
Total Medicare Standardized Payment Amount |
169026.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1206 |
Number Of Medicare Beneficiaries With Drug Services |
428 |
Total Drug Submitted ChargeAmount |
47447.5 |
Total Drug Medicare AllowedAmount |
40908.88 |
Total Drug Medicare PaymentAmount |
38587.74 |
Total Drug Medicare Standardized Payment Amount |
38587.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
4467 |
Number Of Medicare Beneficiaries With Medical Services |
557 |
Total Medical Submitted Charge Amount |
335557.18 |
Total Medical Medicare Allowed Amount |
196455.97 |
Total Medical Medicare Payment Amount |
138862.07 |
Total Medical Medicare Standardized Payment Amount |
130438.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
517 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
544 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9536 |