National Provider Identifier [NPI]: |
1346447786 |
Last Name Of The Provider |
NORDGREN |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2602 BUFORD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH CHESTERFIELD |
Zip Code Of The Provider |
232353422 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
297 |
Number Of Services |
5735 |
Number Of Medicare Beneficiaries |
2954 |
Total Submitted Charge Amount |
882787.81 |
Total Medicare Allowed Amount |
213975.79 |
Total Medicare Payment Amount |
164833.52 |
Total Medicare Standardized Payment Amount |
165592.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
297 |
Number Of Medical Services |
5735 |
Number Of Medicare Beneficiaries With Medical Services |
2954 |
Total Medical Submitted Charge Amount |
882787.81 |
Total Medical Medicare Allowed Amount |
213975.79 |
Total Medical Medicare Payment Amount |
164833.52 |
Total Medical Medicare Standardized Payment Amount |
165592.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
417 |
Number Of Beneficiaries Age 65 to 74 |
939 |
Number Of Beneficiaries Age 75 to 84 |
912 |
Number Of Beneficiaries Age Greater 84 |
686 |
Number Of Female Beneficiaries |
1658 |
Number Of Male Beneficiaries |
1296 |
Number Of Non Hispanic White Beneficiaries |
2633 |
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
2356 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
598 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8561 |