National Provider Identifier [NPI]: |
1578545760 |
Last Name Of The Provider |
ROBUSTO |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD,MBA,FAAFP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5399 OLD VIRGINIA STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
URBANNA |
Zip Code Of The Provider |
231750880 |
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 |
176 |
Number Of Services |
10800 |
Number Of Medicare Beneficiaries |
525 |
Total Submitted Charge Amount |
945117.5 |
Total Medicare Allowed Amount |
378513.7 |
Total Medicare Payment Amount |
288755.75 |
Total Medicare Standardized Payment Amount |
293031.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
493 |
Number Of Medicare Beneficiaries With Drug Services |
235 |
Total Drug Submitted ChargeAmount |
18516 |
Total Drug Medicare AllowedAmount |
8204.99 |
Total Drug Medicare PaymentAmount |
7914.49 |
Total Drug Medicare Standardized Payment Amount |
7914.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
10307 |
Number Of Medicare Beneficiaries With Medical Services |
525 |
Total Medical Submitted Charge Amount |
926601.5 |
Total Medical Medicare Allowed Amount |
370308.71 |
Total Medical Medicare Payment Amount |
280841.26 |
Total Medical Medicare Standardized Payment Amount |
285116.74 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
271 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
453 |
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 |
460 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8582 |