National Provider Identifier [NPI]: |
1134166929 |
Last Name Of The Provider |
SHAIA |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7650 E PARHAM RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232944373 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
5601 |
Number Of Medicare Beneficiaries |
1115 |
Total Submitted Charge Amount |
1020765 |
Total Medicare Allowed Amount |
380909.17 |
Total Medicare Payment Amount |
285007.81 |
Total Medicare Standardized Payment Amount |
292132.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2255 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
27069 |
Total Drug Medicare AllowedAmount |
18729.6 |
Total Drug Medicare PaymentAmount |
14370.94 |
Total Drug Medicare Standardized Payment Amount |
14370.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3346 |
Number Of Medicare Beneficiaries With Medical Services |
1115 |
Total Medical Submitted Charge Amount |
993696 |
Total Medical Medicare Allowed Amount |
362179.57 |
Total Medical Medicare Payment Amount |
270636.87 |
Total Medical Medicare Standardized Payment Amount |
277761.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
370 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
705 |
Number Of Male Beneficiaries |
410 |
Number Of Non Hispanic White Beneficiaries |
920 |
Number Of Black or African American Beneficiaries |
157 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1042 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0563 |