National Provider Identifier [NPI]: |
1659360592 |
Last Name Of The Provider |
EASTON |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
495 EAST MAIN STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEBANON |
Zip Code Of The Provider |
24266 |
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 |
143 |
Number Of Services |
5317 |
Number Of Medicare Beneficiaries |
1056 |
Total Submitted Charge Amount |
564898.37 |
Total Medicare Allowed Amount |
303655.96 |
Total Medicare Payment Amount |
219687.63 |
Total Medicare Standardized Payment Amount |
225427.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
438 |
Number Of Medicare Beneficiaries With Drug Services |
268 |
Total Drug Submitted ChargeAmount |
10015.06 |
Total Drug Medicare AllowedAmount |
5757.36 |
Total Drug Medicare PaymentAmount |
5409.68 |
Total Drug Medicare Standardized Payment Amount |
5409.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
132 |
Number Of Medical Services |
4879 |
Number Of Medicare Beneficiaries With Medical Services |
1055 |
Total Medical Submitted Charge Amount |
554883.31 |
Total Medical Medicare Allowed Amount |
297898.6 |
Total Medical Medicare Payment Amount |
214277.95 |
Total Medical Medicare Standardized Payment Amount |
220017.46 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
1029 |
Number Of Black or African American Beneficiaries |
15 |
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 |
651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
405 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2972 |