National Provider Identifier [NPI]: |
1780635458 |
Last Name Of The Provider |
MCREYNOLDS |
First Name Of The Provider |
CASEY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
HOSPITAL DRIVE |
Street Address 2 Of The Provider |
GLENROCHIE PROFESSIONAL BLDG |
City Of The Provider |
ABINGDON |
Zip Code Of The Provider |
24210 |
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 |
198 |
Number Of Services |
10562 |
Number Of Medicare Beneficiaries |
5427 |
Total Submitted Charge Amount |
759313 |
Total Medicare Allowed Amount |
296138.22 |
Total Medicare Payment Amount |
222425.85 |
Total Medicare Standardized Payment Amount |
232144.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
198 |
Number Of Medical Services |
10562 |
Number Of Medicare Beneficiaries With Medical Services |
5427 |
Total Medical Submitted Charge Amount |
759313 |
Total Medical Medicare Allowed Amount |
296138.22 |
Total Medical Medicare Payment Amount |
222425.85 |
Total Medical Medicare Standardized Payment Amount |
232144.24 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
1855 |
Number Of Beneficiaries Age 65 to 74 |
1799 |
Number Of Beneficiaries Age 75 to 84 |
1254 |
Number Of Beneficiaries Age Greater 84 |
519 |
Number Of Female Beneficiaries |
3531 |
Number Of Male Beneficiaries |
1896 |
Number Of Non Hispanic White Beneficiaries |
5323 |
Number Of Black or African American Beneficiaries |
57 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
3489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1938 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3303 |