National Provider Identifier [NPI]: |
1245286251 |
Last Name Of The Provider |
SMYTH |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8322 BELLONA AVE |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
TOWSON |
Zip Code Of The Provider |
212042012 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
7415 |
Number Of Medicare Beneficiaries |
1202 |
Total Submitted Charge Amount |
715913 |
Total Medicare Allowed Amount |
375048.68 |
Total Medicare Payment Amount |
278667.09 |
Total Medicare Standardized Payment Amount |
268438.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2236 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
192094 |
Total Drug Medicare AllowedAmount |
99868.8 |
Total Drug Medicare PaymentAmount |
77869.84 |
Total Drug Medicare Standardized Payment Amount |
77869.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5179 |
Number Of Medicare Beneficiaries With Medical Services |
1202 |
Total Medical Submitted Charge Amount |
523819 |
Total Medical Medicare Allowed Amount |
275179.88 |
Total Medical Medicare Payment Amount |
200797.25 |
Total Medical Medicare Standardized Payment Amount |
190568.52 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
441 |
Number Of Beneficiaries Age 75 to 84 |
481 |
Number Of Beneficiaries Age Greater 84 |
252 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
1058 |
Number Of Non Hispanic White Beneficiaries |
1086 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1172 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1015 |