National Provider Identifier [NPI]: |
1679550362 |
Last Name Of The Provider |
WHITE |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1305 RADFORD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHRISTIANSBURG |
Zip Code Of The Provider |
240732867 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
4839 |
Number Of Medicare Beneficiaries |
970 |
Total Submitted Charge Amount |
492918 |
Total Medicare Allowed Amount |
393690.26 |
Total Medicare Payment Amount |
294428.61 |
Total Medicare Standardized Payment Amount |
299944.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
1410 |
Total Drug Medicare AllowedAmount |
1126.47 |
Total Drug Medicare PaymentAmount |
1091.9 |
Total Drug Medicare Standardized Payment Amount |
1091.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
4799 |
Number Of Medicare Beneficiaries With Medical Services |
970 |
Total Medical Submitted Charge Amount |
491508 |
Total Medical Medicare Allowed Amount |
392563.79 |
Total Medical Medicare Payment Amount |
293336.71 |
Total Medical Medicare Standardized Payment Amount |
298852.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
287 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
556 |
Number Of Male Beneficiaries |
414 |
Number Of Non Hispanic White Beneficiaries |
940 |
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 |
746 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
64 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7589 |