National Provider Identifier [NPI]: |
1962407510 |
Last Name Of The Provider |
PASCHOLD |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 SENTARA CIRCLE |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
WILLIAMSBURG |
Zip Code Of The Provider |
231885727 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
167 |
Number Of Services |
242391 |
Number Of Medicare Beneficiaries |
1121 |
Total Submitted Charge Amount |
12748110.33 |
Total Medicare Allowed Amount |
3778311.89 |
Total Medicare Payment Amount |
2957946.98 |
Total Medicare Standardized Payment Amount |
2949485.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
84 |
Number Of Drug Services |
225949 |
Number Of Medicare Beneficiaries With Drug Services |
497 |
Total Drug Submitted ChargeAmount |
10753740.33 |
Total Drug Medicare AllowedAmount |
3218744.98 |
Total Drug Medicare PaymentAmount |
2510419.47 |
Total Drug Medicare Standardized Payment Amount |
2510419.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
16442 |
Number Of Medicare Beneficiaries With Medical Services |
1121 |
Total Medical Submitted Charge Amount |
1994370 |
Total Medical Medicare Allowed Amount |
559566.91 |
Total Medical Medicare Payment Amount |
447527.51 |
Total Medical Medicare Standardized Payment Amount |
439065.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
462 |
Number Of Beneficiaries Age 75 to 84 |
431 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
603 |
Number Of Male Beneficiaries |
518 |
Number Of Non Hispanic White Beneficiaries |
870 |
Number Of Black or African American Beneficiaries |
218 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1044 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7406 |