National Provider Identifier [NPI]: |
1801879317 |
Last Name Of The Provider |
WEBB |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2215 LANDOVER PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNCHBURG |
Zip Code Of The Provider |
245012115 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
10482 |
Number Of Medicare Beneficiaries |
1506 |
Total Submitted Charge Amount |
702158.88 |
Total Medicare Allowed Amount |
419548.47 |
Total Medicare Payment Amount |
336057.6 |
Total Medicare Standardized Payment Amount |
341179.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
230 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
6072.54 |
Total Drug Medicare AllowedAmount |
2755.34 |
Total Drug Medicare PaymentAmount |
2606.88 |
Total Drug Medicare Standardized Payment Amount |
2606.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
10252 |
Number Of Medicare Beneficiaries With Medical Services |
1506 |
Total Medical Submitted Charge Amount |
696086.34 |
Total Medical Medicare Allowed Amount |
416793.13 |
Total Medical Medicare Payment Amount |
333450.72 |
Total Medical Medicare Standardized Payment Amount |
338573.11 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
500 |
Number Of Beneficiaries Age Greater 84 |
400 |
Number Of Female Beneficiaries |
927 |
Number Of Male Beneficiaries |
579 |
Number Of Non Hispanic White Beneficiaries |
1215 |
Number Of Black or African American Beneficiaries |
275 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1008 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
498 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7634 |