National Provider Identifier [NPI]: |
1295791820 |
Last Name Of The Provider |
HOLLAND |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 BROOKHAVEN DR |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
HARRISONBURG |
Zip Code Of The Provider |
228013658 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
3948 |
Number Of Medicare Beneficiaries |
499 |
Total Submitted Charge Amount |
1039679.06 |
Total Medicare Allowed Amount |
300402.94 |
Total Medicare Payment Amount |
226605.06 |
Total Medicare Standardized Payment Amount |
219557.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1403 |
Number Of Medicare Beneficiaries With Drug Services |
200 |
Total Drug Submitted ChargeAmount |
55285.56 |
Total Drug Medicare AllowedAmount |
2948.95 |
Total Drug Medicare PaymentAmount |
2247.46 |
Total Drug Medicare Standardized Payment Amount |
2247.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2545 |
Number Of Medicare Beneficiaries With Medical Services |
499 |
Total Medical Submitted Charge Amount |
984393.5 |
Total Medical Medicare Allowed Amount |
297453.99 |
Total Medical Medicare Payment Amount |
224357.6 |
Total Medical Medicare Standardized Payment Amount |
217310.19 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
33 |
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 |
387 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3804 |