National Provider Identifier [NPI]: |
1831187160 |
Last Name Of The Provider |
SHERWOOD |
First Name Of The Provider |
JANICE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
933 FIRST COLONIAL RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234543172 |
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 |
51 |
Number Of Services |
21521.8 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
1061621.68 |
Total Medicare Allowed Amount |
614038.09 |
Total Medicare Payment Amount |
461878.28 |
Total Medicare Standardized Payment Amount |
460975.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
17624.8 |
Number Of Medicare Beneficiaries With Drug Services |
339 |
Total Drug Submitted ChargeAmount |
687133.05 |
Total Drug Medicare AllowedAmount |
414005.58 |
Total Drug Medicare PaymentAmount |
317560.01 |
Total Drug Medicare Standardized Payment Amount |
317560.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
3897 |
Number Of Medicare Beneficiaries With Medical Services |
783 |
Total Medical Submitted Charge Amount |
374488.63 |
Total Medical Medicare Allowed Amount |
200032.51 |
Total Medical Medicare Payment Amount |
144318.27 |
Total Medical Medicare Standardized Payment Amount |
143415.28 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
667 |
Number Of Male Beneficiaries |
117 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
712 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1847 |