National Provider Identifier [NPI]: |
1720090335 |
Last Name Of The Provider |
CHESLER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3025 BERKMAR DR |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229011456 |
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 |
111 |
Number Of Services |
8850 |
Number Of Medicare Beneficiaries |
1539 |
Total Submitted Charge Amount |
668516 |
Total Medicare Allowed Amount |
589526.78 |
Total Medicare Payment Amount |
435758.9 |
Total Medicare Standardized Payment Amount |
451198.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
461 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
16403 |
Total Drug Medicare AllowedAmount |
13734.53 |
Total Drug Medicare PaymentAmount |
13274.28 |
Total Drug Medicare Standardized Payment Amount |
13274.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
8389 |
Number Of Medicare Beneficiaries With Medical Services |
1539 |
Total Medical Submitted Charge Amount |
652113 |
Total Medical Medicare Allowed Amount |
575792.25 |
Total Medical Medicare Payment Amount |
422484.62 |
Total Medical Medicare Standardized Payment Amount |
437923.93 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
534 |
Number Of Beneficiaries Age Greater 84 |
498 |
Number Of Female Beneficiaries |
929 |
Number Of Male Beneficiaries |
610 |
Number Of Non Hispanic White Beneficiaries |
1249 |
Number Of Black or African American Beneficiaries |
255 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1090 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
449 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7883 |