National Provider Identifier [NPI]: |
1639170160 |
Last Name Of The Provider |
DENLINGER |
First Name Of The Provider |
BETHANY |
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 |
412 DURANT STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH HILL |
Zip Code Of The Provider |
239701614 |
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 |
33 |
Number Of Services |
2541 |
Number Of Medicare Beneficiaries |
1162 |
Total Submitted Charge Amount |
495166 |
Total Medicare Allowed Amount |
161662.89 |
Total Medicare Payment Amount |
116686.45 |
Total Medicare Standardized Payment Amount |
120088.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
547 |
Total Drug Medicare AllowedAmount |
457.57 |
Total Drug Medicare PaymentAmount |
448.37 |
Total Drug Medicare Standardized Payment Amount |
448.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2514 |
Number Of Medicare Beneficiaries With Medical Services |
1162 |
Total Medical Submitted Charge Amount |
494619 |
Total Medical Medicare Allowed Amount |
161205.32 |
Total Medical Medicare Payment Amount |
116238.08 |
Total Medical Medicare Standardized Payment Amount |
119639.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
410 |
Number Of Beneficiaries Age 75 to 84 |
392 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
660 |
Number Of Male Beneficiaries |
502 |
Number Of Non Hispanic White Beneficiaries |
710 |
Number Of Black or African American Beneficiaries |
440 |
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 |
766 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
396 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.766 |