National Provider Identifier [NPI]: |
1568460822 |
Last Name Of The Provider |
ZEMEL |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
808 LANDMARK DR |
Street Address 2 Of The Provider |
SUITE 122 |
City Of The Provider |
GLEN BURNIE |
Zip Code Of The Provider |
210614983 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
7316 |
Number Of Medicare Beneficiaries |
941 |
Total Submitted Charge Amount |
1226686.64 |
Total Medicare Allowed Amount |
489827.56 |
Total Medicare Payment Amount |
368908 |
Total Medicare Standardized Payment Amount |
354960.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2603 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
74918.08 |
Total Drug Medicare AllowedAmount |
29964.37 |
Total Drug Medicare PaymentAmount |
22654.93 |
Total Drug Medicare Standardized Payment Amount |
22654.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4713 |
Number Of Medicare Beneficiaries With Medical Services |
941 |
Total Medical Submitted Charge Amount |
1151768.56 |
Total Medical Medicare Allowed Amount |
459863.19 |
Total Medical Medicare Payment Amount |
346253.07 |
Total Medical Medicare Standardized Payment Amount |
332305.46 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
485 |
Number Of Non Hispanic White Beneficiaries |
697 |
Number Of Black or African American Beneficiaries |
199 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
773 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
168 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.8068 |