National Provider Identifier [NPI]: |
1083746325 |
Last Name Of The Provider |
BANIAN |
First Name Of The Provider |
BARKEV |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14904 JEFFERSON DAVIS HWY STE 412 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODBRIDGE |
Zip Code Of The Provider |
221913908 |
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 |
21 |
Number Of Services |
7598 |
Number Of Medicare Beneficiaries |
3442 |
Total Submitted Charge Amount |
234372 |
Total Medicare Allowed Amount |
95424.82 |
Total Medicare Payment Amount |
68715.73 |
Total Medicare Standardized Payment Amount |
71635.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1107 |
Total Drug Medicare AllowedAmount |
498.96 |
Total Drug Medicare PaymentAmount |
488.94 |
Total Drug Medicare Standardized Payment Amount |
488.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
7565 |
Number Of Medicare Beneficiaries With Medical Services |
3442 |
Total Medical Submitted Charge Amount |
233265 |
Total Medical Medicare Allowed Amount |
94925.86 |
Total Medical Medicare Payment Amount |
68226.79 |
Total Medical Medicare Standardized Payment Amount |
71146.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
578 |
Number Of Beneficiaries Age 65 to 74 |
1261 |
Number Of Beneficiaries Age 75 to 84 |
1007 |
Number Of Beneficiaries Age Greater 84 |
596 |
Number Of Female Beneficiaries |
2070 |
Number Of Male Beneficiaries |
1372 |
Number Of Non Hispanic White Beneficiaries |
2136 |
Number Of Black or African American Beneficiaries |
849 |
Number Of AsianPacific Islander Beneficiaries |
161 |
Number Of Hispanic Beneficiaries |
229 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2646 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
796 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7842 |