National Provider Identifier [NPI]: |
1750311130 |
Last Name Of The Provider |
CASTRO |
First Name Of The Provider |
BRIGID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2722 MERRILEE DR |
Street Address 2 Of The Provider |
STE. 230 |
City Of The Provider |
FAIRFAX |
Zip Code Of The Provider |
220314400 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
9498 |
Number Of Medicare Beneficiaries |
3802 |
Total Submitted Charge Amount |
1870864.7 |
Total Medicare Allowed Amount |
584549.48 |
Total Medicare Payment Amount |
448948.24 |
Total Medicare Standardized Payment Amount |
432261.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3970 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
6377.45 |
Total Drug Medicare AllowedAmount |
1564.59 |
Total Drug Medicare PaymentAmount |
1197.6 |
Total Drug Medicare Standardized Payment Amount |
1197.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
144 |
Number Of Medical Services |
5528 |
Number Of Medicare Beneficiaries With Medical Services |
3802 |
Total Medical Submitted Charge Amount |
1864487.25 |
Total Medical Medicare Allowed Amount |
582984.89 |
Total Medical Medicare Payment Amount |
447750.64 |
Total Medical Medicare Standardized Payment Amount |
431063.9 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
316 |
Number Of Beneficiaries Age 65 to 74 |
1484 |
Number Of Beneficiaries Age 75 to 84 |
1250 |
Number Of Beneficiaries Age Greater 84 |
752 |
Number Of Female Beneficiaries |
2164 |
Number Of Male Beneficiaries |
1638 |
Number Of Non Hispanic White Beneficiaries |
2810 |
Number Of Black or African American Beneficiaries |
273 |
Number Of AsianPacific Islander Beneficiaries |
433 |
Number Of Hispanic Beneficiaries |
183 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3132 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
670 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.639 |