National Provider Identifier [NPI]: |
1851363162 |
Last Name Of The Provider |
NUSKIND |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
900 CATON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212295201 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
12638 |
Number Of Medicare Beneficiaries |
1163 |
Total Submitted Charge Amount |
811501.7 |
Total Medicare Allowed Amount |
193517.15 |
Total Medicare Payment Amount |
142227.88 |
Total Medicare Standardized Payment Amount |
140999.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
10800 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
13500 |
Total Drug Medicare AllowedAmount |
1977.12 |
Total Drug Medicare PaymentAmount |
1362.08 |
Total Drug Medicare Standardized Payment Amount |
1362.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
1838 |
Number Of Medicare Beneficiaries With Medical Services |
1163 |
Total Medical Submitted Charge Amount |
798001.7 |
Total Medical Medicare Allowed Amount |
191540.03 |
Total Medical Medicare Payment Amount |
140865.8 |
Total Medical Medicare Standardized Payment Amount |
139637.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
550 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
782 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
935 |
Number Of Black or African American Beneficiaries |
195 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1004 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2218 |