National Provider Identifier [NPI]: |
1063451268 |
Last Name Of The Provider |
GRAYSON |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2010 HEALTH CAMPUS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HARRISONBURG |
Zip Code Of The Provider |
228018679 |
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 |
224 |
Number Of Services |
5995 |
Number Of Medicare Beneficiaries |
3432 |
Total Submitted Charge Amount |
878782 |
Total Medicare Allowed Amount |
267367.82 |
Total Medicare Payment Amount |
199955.32 |
Total Medicare Standardized Payment Amount |
206002.17 |
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 |
224 |
Number Of Medical Services |
5995 |
Number Of Medicare Beneficiaries With Medical Services |
3432 |
Total Medical Submitted Charge Amount |
878782 |
Total Medical Medicare Allowed Amount |
267367.82 |
Total Medical Medicare Payment Amount |
199955.32 |
Total Medical Medicare Standardized Payment Amount |
206002.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
513 |
Number Of Beneficiaries Age 65 to 74 |
1264 |
Number Of Beneficiaries Age 75 to 84 |
1037 |
Number Of Beneficiaries Age Greater 84 |
618 |
Number Of Female Beneficiaries |
2031 |
Number Of Male Beneficiaries |
1401 |
Number Of Non Hispanic White Beneficiaries |
3228 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2731 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
701 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4831 |