National Provider Identifier [NPI]: |
1265758585 |
Last Name Of The Provider |
ARMSTRONG |
First Name Of The Provider |
CAROLINE |
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 |
65 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE#102 |
City Of The Provider |
PETERSBURG |
Zip Code Of The Provider |
268479549 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2180.5 |
Number Of Medicare Beneficiaries |
572 |
Total Submitted Charge Amount |
161540.5 |
Total Medicare Allowed Amount |
148923.63 |
Total Medicare Payment Amount |
107689.62 |
Total Medicare Standardized Payment Amount |
109206.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
245.5 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
4537.5 |
Total Drug Medicare AllowedAmount |
1889.24 |
Total Drug Medicare PaymentAmount |
1718.58 |
Total Drug Medicare Standardized Payment Amount |
1718.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1935 |
Number Of Medicare Beneficiaries With Medical Services |
572 |
Total Medical Submitted Charge Amount |
157003 |
Total Medical Medicare Allowed Amount |
147034.39 |
Total Medical Medicare Payment Amount |
105971.04 |
Total Medical Medicare Standardized Payment Amount |
107488.17 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
216 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
556 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
230 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1535 |