National Provider Identifier [NPI]: |
1316933195 |
Last Name Of The Provider |
MICALE |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 J CLYDE MORRIS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
236011929 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5382 |
Number Of Medicare Beneficiaries |
2985 |
Total Submitted Charge Amount |
521895 |
Total Medicare Allowed Amount |
252114.66 |
Total Medicare Payment Amount |
187264.43 |
Total Medicare Standardized Payment Amount |
189771.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5382 |
Number Of Medicare Beneficiaries With Medical Services |
2985 |
Total Medical Submitted Charge Amount |
521895 |
Total Medical Medicare Allowed Amount |
252114.66 |
Total Medical Medicare Payment Amount |
187264.43 |
Total Medical Medicare Standardized Payment Amount |
189771.55 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
344 |
Number Of Beneficiaries Age 65 to 74 |
1081 |
Number Of Beneficiaries Age 75 to 84 |
1000 |
Number Of Beneficiaries Age Greater 84 |
560 |
Number Of Female Beneficiaries |
1556 |
Number Of Male Beneficiaries |
1429 |
Number Of Non Hispanic White Beneficiaries |
2283 |
Number Of Black or African American Beneficiaries |
617 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2534 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
451 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7028 |