National Provider Identifier [NPI]: |
1871898650 |
Last Name Of The Provider |
FRANK |
First Name Of The Provider |
ABIGAIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 N JEFFERSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEWISBURG |
Zip Code Of The Provider |
24901 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
1117 |
Number Of Medicare Beneficiaries |
359 |
Total Submitted Charge Amount |
101827 |
Total Medicare Allowed Amount |
66253.91 |
Total Medicare Payment Amount |
48422.82 |
Total Medicare Standardized Payment Amount |
53332.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
123 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
2484 |
Total Drug Medicare AllowedAmount |
1890.37 |
Total Drug Medicare PaymentAmount |
1800.33 |
Total Drug Medicare Standardized Payment Amount |
1800.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
994 |
Number Of Medicare Beneficiaries With Medical Services |
359 |
Total Medical Submitted Charge Amount |
99343 |
Total Medical Medicare Allowed Amount |
64363.54 |
Total Medical Medicare Payment Amount |
46622.49 |
Total Medical Medicare Standardized Payment Amount |
51532.53 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
227 |
Number Of Male Beneficiaries |
132 |
Number Of Non Hispanic White Beneficiaries |
337 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
239 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3577 |