National Provider Identifier [NPI]: |
1043283674 |
Last Name Of The Provider |
SUTER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8109 HARFORD RD |
Street Address 2 Of The Provider |
STE E |
City Of The Provider |
PARKVILLE |
Zip Code Of The Provider |
212349205 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
5429 |
Number Of Medicare Beneficiaries |
618 |
Total Submitted Charge Amount |
408901 |
Total Medicare Allowed Amount |
276725.73 |
Total Medicare Payment Amount |
193467.55 |
Total Medicare Standardized Payment Amount |
183170.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
983 |
Number Of Medicare Beneficiaries With Drug Services |
248 |
Total Drug Submitted ChargeAmount |
24344 |
Total Drug Medicare AllowedAmount |
15911.79 |
Total Drug Medicare PaymentAmount |
13513.88 |
Total Drug Medicare Standardized Payment Amount |
13513.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
4446 |
Number Of Medicare Beneficiaries With Medical Services |
617 |
Total Medical Submitted Charge Amount |
384557 |
Total Medical Medicare Allowed Amount |
260813.94 |
Total Medical Medicare Payment Amount |
179953.67 |
Total Medical Medicare Standardized Payment Amount |
169656.94 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
346 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
588 |
Number Of Black or African American Beneficiaries |
17 |
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 |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1222 |