National Provider Identifier [NPI]: |
1245398312 |
Last Name Of The Provider |
FELDMAN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8116 GOOD LUCK RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
LANHAM |
Zip Code Of The Provider |
207063502 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5051 |
Number Of Medicare Beneficiaries |
549 |
Total Submitted Charge Amount |
486266.9 |
Total Medicare Allowed Amount |
265576.39 |
Total Medicare Payment Amount |
192665.57 |
Total Medicare Standardized Payment Amount |
176553.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
510 |
Number Of Medicare Beneficiaries With Drug Services |
318 |
Total Drug Submitted ChargeAmount |
60435 |
Total Drug Medicare AllowedAmount |
35398.18 |
Total Drug Medicare PaymentAmount |
33911.5 |
Total Drug Medicare Standardized Payment Amount |
33911.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4541 |
Number Of Medicare Beneficiaries With Medical Services |
549 |
Total Medical Submitted Charge Amount |
425831.9 |
Total Medical Medicare Allowed Amount |
230178.21 |
Total Medical Medicare Payment Amount |
158754.07 |
Total Medical Medicare Standardized Payment Amount |
142642.42 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
187 |
Number Of Black or African American Beneficiaries |
338 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
484 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1466 |