National Provider Identifier [NPI]: |
1679553358 |
Last Name Of The Provider |
BAER |
First Name Of The Provider |
ANNA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
650 PETER JEFFERSON PKWY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229118844 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
4407 |
Number Of Medicare Beneficiaries |
1623 |
Total Submitted Charge Amount |
1141370.13 |
Total Medicare Allowed Amount |
398001.51 |
Total Medicare Payment Amount |
290829.55 |
Total Medicare Standardized Payment Amount |
299966.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
55 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
11482 |
Total Drug Medicare AllowedAmount |
2815.57 |
Total Drug Medicare PaymentAmount |
2171.23 |
Total Drug Medicare Standardized Payment Amount |
2171.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
4352 |
Number Of Medicare Beneficiaries With Medical Services |
1623 |
Total Medical Submitted Charge Amount |
1129888.13 |
Total Medical Medicare Allowed Amount |
395185.94 |
Total Medical Medicare Payment Amount |
288658.32 |
Total Medical Medicare Standardized Payment Amount |
297794.93 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
610 |
Number Of Beneficiaries Age 75 to 84 |
579 |
Number Of Beneficiaries Age Greater 84 |
347 |
Number Of Female Beneficiaries |
885 |
Number Of Male Beneficiaries |
738 |
Number Of Non Hispanic White Beneficiaries |
1448 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3496 |