Medicare Facts for Dr. April L. Guminsky, MD


National Provider Identifier [NPI]: 1326255662
Last Name Of The Provider GUMINSKY
First Name Of The Provider APRIL
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 7364 RICHMOND RD
Street Address 2 Of The Provider
City Of The Provider WILLIAMSBURG
Zip Code Of The Provider 231887220
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 104
Number Of Services 7011
Number Of Medicare Beneficiaries 470
Total Submitted Charge Amount 394384.99
Total Medicare Allowed Amount 252198.57
Total Medicare Payment Amount 200304.48
Total Medicare Standardized Payment Amount 205331.86
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 1434
Number Of Medicare Beneficiaries With Drug Services 178
Total Drug Submitted ChargeAmount 44981
Total Drug Medicare AllowedAmount 33897.39
Total Drug Medicare PaymentAmount 29684.5
Total Drug Medicare Standardized Payment Amount 29684.5
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 92
Number Of Medical Services 5577
Number Of Medicare Beneficiaries With Medical Services 470
Total Medical Submitted Charge Amount 349403.99
Total Medical Medicare Allowed Amount 218301.18
Total Medical Medicare Payment Amount 170619.98
Total Medical Medicare Standardized Payment Amount 175647.36
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 62
Number Of Beneficiaries Age 65 to 74 254
Number Of Beneficiaries Age 75 to 84 118
Number Of Beneficiaries Age Greater 84 36
Number Of Female Beneficiaries 348
Number Of Male Beneficiaries 122
Number Of Non Hispanic White Beneficiaries 416
Number Of Black or African American Beneficiaries 38
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 424
Number Of Beneficiaries With Medicare Medicaid Entitlement 46
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 6
Percent Of With Cancer 7
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 25
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 19
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.956

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