National Provider Identifier [NPI]: |
1174506679 |
Last Name Of The Provider |
MEADOWS |
First Name Of The Provider |
JAMES |
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 |
105 |
Number Of Services |
5644 |
Number Of Medicare Beneficiaries |
541 |
Total Submitted Charge Amount |
319168.72 |
Total Medicare Allowed Amount |
177206.87 |
Total Medicare Payment Amount |
143067.07 |
Total Medicare Standardized Payment Amount |
146436.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
234 |
Number Of Medicare Beneficiaries With Drug Services |
176 |
Total Drug Submitted ChargeAmount |
8240.26 |
Total Drug Medicare AllowedAmount |
4394.34 |
Total Drug Medicare PaymentAmount |
4237.92 |
Total Drug Medicare Standardized Payment Amount |
4237.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
5410 |
Number Of Medicare Beneficiaries With Medical Services |
541 |
Total Medical Submitted Charge Amount |
310928.46 |
Total Medical Medicare Allowed Amount |
172812.53 |
Total Medical Medicare Payment Amount |
138829.15 |
Total Medical Medicare Standardized Payment Amount |
142198.46 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
266 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
476 |
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 |
507 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1134 |