National Provider Identifier [NPI]: |
1275514861 |
Last Name Of The Provider |
DIXIT |
First Name Of The Provider |
BRINDA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
516 INNOVATION DR |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
CHESAPEAKE |
Zip Code Of The Provider |
233203866 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
190408 |
Number Of Medicare Beneficiaries |
368 |
Total Submitted Charge Amount |
4022143.11 |
Total Medicare Allowed Amount |
2178640.71 |
Total Medicare Payment Amount |
1636873.22 |
Total Medicare Standardized Payment Amount |
1632079.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
187428 |
Number Of Medicare Beneficiaries With Drug Services |
266 |
Total Drug Submitted ChargeAmount |
3117856.11 |
Total Drug Medicare AllowedAmount |
1945760.62 |
Total Drug Medicare PaymentAmount |
1465021.94 |
Total Drug Medicare Standardized Payment Amount |
1465021.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2980 |
Number Of Medicare Beneficiaries With Medical Services |
368 |
Total Medical Submitted Charge Amount |
904287 |
Total Medical Medicare Allowed Amount |
232880.09 |
Total Medical Medicare Payment Amount |
171851.28 |
Total Medical Medicare Standardized Payment Amount |
167057.36 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
295 |
Number Of Male Beneficiaries |
73 |
Number Of Non Hispanic White Beneficiaries |
259 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
337 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2937 |