National Provider Identifier [NPI]: |
1225077548 |
Last Name Of The Provider |
RAWLES |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 JOHNSTON WILLIS DR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232354765 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2733 |
Number Of Medicare Beneficiaries |
620 |
Total Submitted Charge Amount |
552469 |
Total Medicare Allowed Amount |
196457.11 |
Total Medicare Payment Amount |
145409.87 |
Total Medicare Standardized Payment Amount |
150031.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
845 |
Number Of Medicare Beneficiaries With Drug Services |
296 |
Total Drug Submitted ChargeAmount |
7731 |
Total Drug Medicare AllowedAmount |
4870.46 |
Total Drug Medicare PaymentAmount |
3785.52 |
Total Drug Medicare Standardized Payment Amount |
3785.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
1888 |
Number Of Medicare Beneficiaries With Medical Services |
620 |
Total Medical Submitted Charge Amount |
544738 |
Total Medical Medicare Allowed Amount |
191586.65 |
Total Medical Medicare Payment Amount |
141624.35 |
Total Medical Medicare Standardized Payment Amount |
146245.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
402 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
86 |
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 |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8852 |