National Provider Identifier [NPI]: |
1598739476 |
Last Name Of The Provider |
SKAGGS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
707 CHESTNUT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH CHARLESTON |
Zip Code Of The Provider |
253092003 |
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 |
98 |
Number Of Services |
6861.5 |
Number Of Medicare Beneficiaries |
1006 |
Total Submitted Charge Amount |
611804 |
Total Medicare Allowed Amount |
354450.96 |
Total Medicare Payment Amount |
249545.22 |
Total Medicare Standardized Payment Amount |
274204.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1188.5 |
Number Of Medicare Beneficiaries With Drug Services |
370 |
Total Drug Submitted ChargeAmount |
32745 |
Total Drug Medicare AllowedAmount |
13696.25 |
Total Drug Medicare PaymentAmount |
12307.63 |
Total Drug Medicare Standardized Payment Amount |
12307.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
5673 |
Number Of Medicare Beneficiaries With Medical Services |
1006 |
Total Medical Submitted Charge Amount |
579059 |
Total Medical Medicare Allowed Amount |
340754.71 |
Total Medical Medicare Payment Amount |
237237.59 |
Total Medical Medicare Standardized Payment Amount |
261897.21 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
357 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
978 |
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 |
704 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4479 |