National Provider Identifier [NPI]: |
1518177278 |
Last Name Of The Provider |
ATKINS |
First Name Of The Provider |
MELANY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2722 MERRILEE DR STE 230 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAIRFAX |
Zip Code Of The Provider |
220314400 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
34011 |
Number Of Medicare Beneficiaries |
2888 |
Total Submitted Charge Amount |
1567599.4 |
Total Medicare Allowed Amount |
326331.81 |
Total Medicare Payment Amount |
246592.34 |
Total Medicare Standardized Payment Amount |
222157.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
29905 |
Number Of Medicare Beneficiaries With Drug Services |
285 |
Total Drug Submitted ChargeAmount |
42239.9 |
Total Drug Medicare AllowedAmount |
6190.23 |
Total Drug Medicare PaymentAmount |
4472.59 |
Total Drug Medicare Standardized Payment Amount |
4472.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
144 |
Number Of Medical Services |
4106 |
Number Of Medicare Beneficiaries With Medical Services |
2887 |
Total Medical Submitted Charge Amount |
1525359.5 |
Total Medical Medicare Allowed Amount |
320141.58 |
Total Medical Medicare Payment Amount |
242119.75 |
Total Medical Medicare Standardized Payment Amount |
217684.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
265 |
Number Of Beneficiaries Age 65 to 74 |
1121 |
Number Of Beneficiaries Age 75 to 84 |
951 |
Number Of Beneficiaries Age Greater 84 |
551 |
Number Of Female Beneficiaries |
1587 |
Number Of Male Beneficiaries |
1301 |
Number Of Non Hispanic White Beneficiaries |
2139 |
Number Of Black or African American Beneficiaries |
223 |
Number Of AsianPacific Islander Beneficiaries |
323 |
Number Of Hispanic Beneficiaries |
122 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2367 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
521 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7344 |