National Provider Identifier [NPI]: |
1023086592 |
Last Name Of The Provider |
BUTTROSS |
First Name Of The Provider |
MELANIE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4910 MASS AVE NW |
Street Address 2 Of The Provider |
STE 21 EYE ASSOCIATES OF WASH DC PC |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200164300 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
2580 |
Number Of Medicare Beneficiaries |
1365 |
Total Submitted Charge Amount |
924555 |
Total Medicare Allowed Amount |
435742.48 |
Total Medicare Payment Amount |
312513.68 |
Total Medicare Standardized Payment Amount |
276563.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2580 |
Number Of Medicare Beneficiaries With Medical Services |
1365 |
Total Medical Submitted Charge Amount |
924555 |
Total Medical Medicare Allowed Amount |
435742.48 |
Total Medical Medicare Payment Amount |
312513.68 |
Total Medical Medicare Standardized Payment Amount |
276563.6 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
702 |
Number Of Beneficiaries Age 75 to 84 |
464 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
884 |
Number Of Male Beneficiaries |
481 |
Number Of Non Hispanic White Beneficiaries |
1188 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
58 |
Number Of Beneficiaries With Medicare Only Entitlement |
1326 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8071 |