National Provider Identifier [NPI]: |
1689672941 |
Last Name Of The Provider |
BAUM |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 CARNIE BLVD |
Street Address 2 Of The Provider |
SUITE B-5 |
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
080434512 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
169 |
Number Of Services |
12006.5 |
Number Of Medicare Beneficiaries |
2928 |
Total Submitted Charge Amount |
1518698 |
Total Medicare Allowed Amount |
387388.99 |
Total Medicare Payment Amount |
313985.91 |
Total Medicare Standardized Payment Amount |
290058.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7373.5 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
12382 |
Total Drug Medicare AllowedAmount |
3404.94 |
Total Drug Medicare PaymentAmount |
2669.46 |
Total Drug Medicare Standardized Payment Amount |
2669.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
164 |
Number Of Medical Services |
4633 |
Number Of Medicare Beneficiaries With Medical Services |
2928 |
Total Medical Submitted Charge Amount |
1506316 |
Total Medical Medicare Allowed Amount |
383984.05 |
Total Medical Medicare Payment Amount |
311316.45 |
Total Medical Medicare Standardized Payment Amount |
287389.34 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
453 |
Number Of Beneficiaries Age 65 to 74 |
1232 |
Number Of Beneficiaries Age 75 to 84 |
834 |
Number Of Beneficiaries Age Greater 84 |
409 |
Number Of Female Beneficiaries |
2069 |
Number Of Male Beneficiaries |
859 |
Number Of Non Hispanic White Beneficiaries |
2517 |
Number Of Black or African American Beneficiaries |
295 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2510 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
418 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3241 |