National Provider Identifier [NPI]: |
1679573687 |
Last Name Of The Provider |
REID |
First Name Of The Provider |
MAURICE |
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 |
1505 E CHURCHVILLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEL AIR |
Zip Code Of The Provider |
210144742 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
21484 |
Number Of Medicare Beneficiaries |
7821 |
Total Submitted Charge Amount |
1855420 |
Total Medicare Allowed Amount |
1382035.95 |
Total Medicare Payment Amount |
960937.34 |
Total Medicare Standardized Payment Amount |
929170.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1309 |
Number Of Medicare Beneficiaries With Drug Services |
885 |
Total Drug Submitted ChargeAmount |
104145 |
Total Drug Medicare AllowedAmount |
77258.06 |
Total Drug Medicare PaymentAmount |
59335.55 |
Total Drug Medicare Standardized Payment Amount |
59335.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
20175 |
Number Of Medicare Beneficiaries With Medical Services |
7818 |
Total Medical Submitted Charge Amount |
1751275 |
Total Medical Medicare Allowed Amount |
1304777.89 |
Total Medical Medicare Payment Amount |
901601.79 |
Total Medical Medicare Standardized Payment Amount |
869835.15 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
2005 |
Number Of Beneficiaries Age 65 to 74 |
3211 |
Number Of Beneficiaries Age 75 to 84 |
1827 |
Number Of Beneficiaries Age Greater 84 |
778 |
Number Of Female Beneficiaries |
5232 |
Number Of Male Beneficiaries |
2589 |
Number Of Non Hispanic White Beneficiaries |
6812 |
Number Of Black or African American Beneficiaries |
766 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
76 |
Number Of Beneficiaries With Medicare Only Entitlement |
6161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1660 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0536 |