Medicare Facts for Dr. David A. Pelfrey, MD


National Provider Identifier [NPI]: 1518936244
Last Name Of The Provider PELFREY
First Name Of The Provider DAVID
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 124 AMBRIAR COURT
Street Address 2 Of The Provider
City Of The Provider AMHERST
Zip Code Of The Provider 245211320
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 71
Number Of Services 3942
Number Of Medicare Beneficiaries 560
Total Submitted Charge Amount 175464.57
Total Medicare Allowed Amount 135547.15
Total Medicare Payment Amount 106878.73
Total Medicare Standardized Payment Amount 111016.36
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 262
Number Of Medicare Beneficiaries With Drug Services 235
Total Drug Submitted ChargeAmount 12277.25
Total Drug Medicare AllowedAmount 8516.65
Total Drug Medicare PaymentAmount 8313.94
Total Drug Medicare Standardized Payment Amount 8313.94
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 61
Number Of Medical Services 3680
Number Of Medicare Beneficiaries With Medical Services 560
Total Medical Submitted Charge Amount 163187.32
Total Medical Medicare Allowed Amount 127030.5
Total Medical Medicare Payment Amount 98564.79
Total Medical Medicare Standardized Payment Amount 102702.42
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 73
Number Of Beneficiaries Age 65 to 74 235
Number Of Beneficiaries Age 75 to 84 192
Number Of Beneficiaries Age Greater 84 60
Number Of Female Beneficiaries 291
Number Of Male Beneficiaries 269
Number Of Non Hispanic White Beneficiaries 447
Number Of Black or African American Beneficiaries
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 449
Number Of Beneficiaries With Medicare Medicaid Entitlement 111
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 5
Percent Of With Cancer 8
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 17
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0328

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