National Provider Identifier [NPI]: |
1003889429 |
Last Name Of The Provider |
KNARR |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2460 LEE HWY N |
Street Address 2 Of The Provider |
|
City Of The Provider |
PULASKI |
Zip Code Of The Provider |
243012335 |
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 |
72 |
Number Of Services |
8163 |
Number Of Medicare Beneficiaries |
1116 |
Total Submitted Charge Amount |
437752 |
Total Medicare Allowed Amount |
212026.26 |
Total Medicare Payment Amount |
158951.68 |
Total Medicare Standardized Payment Amount |
160784.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
180 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
5918 |
Total Drug Medicare AllowedAmount |
4848.01 |
Total Drug Medicare PaymentAmount |
4720.15 |
Total Drug Medicare Standardized Payment Amount |
4720.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
7983 |
Number Of Medicare Beneficiaries With Medical Services |
1116 |
Total Medical Submitted Charge Amount |
431834 |
Total Medical Medicare Allowed Amount |
207178.25 |
Total Medical Medicare Payment Amount |
154231.53 |
Total Medical Medicare Standardized Payment Amount |
156064.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
662 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
1051 |
Number Of Black or African American Beneficiaries |
53 |
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 |
753 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
363 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6246 |