National Provider Identifier [NPI]: |
1053387266 |
Last Name Of The Provider |
RICHARDS |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 ELECTRIC RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALEM |
Zip Code Of The Provider |
241537474 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
171 |
Number Of Services |
182547 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
13564494.26 |
Total Medicare Allowed Amount |
3961449.12 |
Total Medicare Payment Amount |
3102298.09 |
Total Medicare Standardized Payment Amount |
3092593.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
85 |
Number Of Drug Services |
169225 |
Number Of Medicare Beneficiaries With Drug Services |
321 |
Total Drug Submitted ChargeAmount |
11573288.26 |
Total Drug Medicare AllowedAmount |
3424417.78 |
Total Drug Medicare PaymentAmount |
2679257.87 |
Total Drug Medicare Standardized Payment Amount |
2679257.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
13322 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
1991206 |
Total Medical Medicare Allowed Amount |
537031.34 |
Total Medical Medicare Payment Amount |
423040.22 |
Total Medical Medicare Standardized Payment Amount |
413335.34 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
297 |
Number Of Non Hispanic White Beneficiaries |
734 |
Number Of Black or African American Beneficiaries |
|
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 |
686 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.898 |