National Provider Identifier [NPI]: |
1437113982 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
CAMERON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9105 STONY POINT PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232351979 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
12443 |
Number Of Medicare Beneficiaries |
1119 |
Total Submitted Charge Amount |
1415349 |
Total Medicare Allowed Amount |
497418.36 |
Total Medicare Payment Amount |
366771.39 |
Total Medicare Standardized Payment Amount |
379944.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
5272 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
347812 |
Total Drug Medicare AllowedAmount |
110156.53 |
Total Drug Medicare PaymentAmount |
80524.3 |
Total Drug Medicare Standardized Payment Amount |
80524.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
7171 |
Number Of Medicare Beneficiaries With Medical Services |
1119 |
Total Medical Submitted Charge Amount |
1067537 |
Total Medical Medicare Allowed Amount |
387261.83 |
Total Medical Medicare Payment Amount |
286247.09 |
Total Medical Medicare Standardized Payment Amount |
299420.54 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
439 |
Number Of Beneficiaries Age 75 to 84 |
427 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
841 |
Number Of Non Hispanic White Beneficiaries |
943 |
Number Of Black or African American Beneficiaries |
154 |
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 |
1052 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2066 |