National Provider Identifier [NPI]: |
1376688994 |
Last Name Of The Provider |
LIU |
First Name Of The Provider |
SHERIN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10110 MOLECULAR DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208507539 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
6161 |
Number Of Medicare Beneficiaries |
438 |
Total Submitted Charge Amount |
473530 |
Total Medicare Allowed Amount |
281385.02 |
Total Medicare Payment Amount |
212645.37 |
Total Medicare Standardized Payment Amount |
194651.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3707 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
37125 |
Total Drug Medicare AllowedAmount |
19252.38 |
Total Drug Medicare PaymentAmount |
15098.68 |
Total Drug Medicare Standardized Payment Amount |
15098.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2454 |
Number Of Medicare Beneficiaries With Medical Services |
438 |
Total Medical Submitted Charge Amount |
436405 |
Total Medical Medicare Allowed Amount |
262132.64 |
Total Medical Medicare Payment Amount |
197546.69 |
Total Medical Medicare Standardized Payment Amount |
179552.87 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
318 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
26 |
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 |
288 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
2.2217 |