National Provider Identifier [NPI]: |
1710281654 |
Last Name Of The Provider |
SILVERBERG |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7799 LEESBURG PIKE |
Street Address 2 Of The Provider |
SUITE #1000N |
City Of The Provider |
FALLS CHURCH |
Zip Code Of The Provider |
220432408 |
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 |
52 |
Number Of Services |
2371 |
Number Of Medicare Beneficiaries |
1072 |
Total Submitted Charge Amount |
1732973 |
Total Medicare Allowed Amount |
339886.47 |
Total Medicare Payment Amount |
259298.35 |
Total Medicare Standardized Payment Amount |
245720.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
938 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
4040 |
Total Drug Medicare AllowedAmount |
1345.42 |
Total Drug Medicare PaymentAmount |
1017.24 |
Total Drug Medicare Standardized Payment Amount |
1017.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
1433 |
Number Of Medicare Beneficiaries With Medical Services |
1072 |
Total Medical Submitted Charge Amount |
1728933 |
Total Medical Medicare Allowed Amount |
338541.05 |
Total Medical Medicare Payment Amount |
258281.11 |
Total Medical Medicare Standardized Payment Amount |
244702.85 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
575 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
649 |
Number Of Male Beneficiaries |
423 |
Number Of Non Hispanic White Beneficiaries |
910 |
Number Of Black or African American Beneficiaries |
122 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
936 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9032 |