National Provider Identifier [NPI]: |
1801823943 |
Last Name Of The Provider |
GRIFFIN |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 AKERS FARM RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHRISTIANSBURG |
Zip Code Of The Provider |
24073 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
6030 |
Number Of Medicare Beneficiaries |
1188 |
Total Submitted Charge Amount |
822665.75 |
Total Medicare Allowed Amount |
379978.95 |
Total Medicare Payment Amount |
283524.59 |
Total Medicare Standardized Payment Amount |
291059.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
523 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
171508 |
Total Drug Medicare AllowedAmount |
63081.49 |
Total Drug Medicare PaymentAmount |
49253.87 |
Total Drug Medicare Standardized Payment Amount |
49253.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
5507 |
Number Of Medicare Beneficiaries With Medical Services |
1188 |
Total Medical Submitted Charge Amount |
651157.75 |
Total Medical Medicare Allowed Amount |
316897.46 |
Total Medical Medicare Payment Amount |
234270.72 |
Total Medical Medicare Standardized Payment Amount |
241805.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
538 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
251 |
Number Of Male Beneficiaries |
937 |
Number Of Non Hispanic White Beneficiaries |
1130 |
Number Of Black or African American Beneficiaries |
34 |
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 |
1074 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2021 |