National Provider Identifier [NPI]: |
1538140603 |
Last Name Of The Provider |
HUDGINS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 PLANTATION RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLACKSBURG |
Zip Code Of The Provider |
240603833 |
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 |
1953 |
Number Of Medicare Beneficiaries |
371 |
Total Submitted Charge Amount |
126465 |
Total Medicare Allowed Amount |
89257.42 |
Total Medicare Payment Amount |
59856.69 |
Total Medicare Standardized Payment Amount |
62469.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
3828 |
Total Drug Medicare AllowedAmount |
2604.93 |
Total Drug Medicare PaymentAmount |
2465.39 |
Total Drug Medicare Standardized Payment Amount |
2465.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
1809 |
Number Of Medicare Beneficiaries With Medical Services |
371 |
Total Medical Submitted Charge Amount |
122637 |
Total Medical Medicare Allowed Amount |
86652.49 |
Total Medical Medicare Payment Amount |
57391.3 |
Total Medical Medicare Standardized Payment Amount |
60004.19 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
348 |
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 |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8522 |