National Provider Identifier [NPI]: |
1275512550 |
Last Name Of The Provider |
RENZI |
First Name Of The Provider |
RANDOLPH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
190 CAMPUS BLVD STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
226012872 |
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 |
79 |
Number Of Services |
3841 |
Number Of Medicare Beneficiaries |
1904 |
Total Submitted Charge Amount |
689963.92 |
Total Medicare Allowed Amount |
328522.07 |
Total Medicare Payment Amount |
240828.27 |
Total Medicare Standardized Payment Amount |
254656.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
47 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
6010 |
Total Drug Medicare AllowedAmount |
2570.22 |
Total Drug Medicare PaymentAmount |
1956.78 |
Total Drug Medicare Standardized Payment Amount |
1956.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
3794 |
Number Of Medicare Beneficiaries With Medical Services |
1904 |
Total Medical Submitted Charge Amount |
683953.92 |
Total Medical Medicare Allowed Amount |
325951.85 |
Total Medical Medicare Payment Amount |
238871.49 |
Total Medical Medicare Standardized Payment Amount |
252699.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
817 |
Number Of Beneficiaries Age 75 to 84 |
627 |
Number Of Beneficiaries Age Greater 84 |
262 |
Number Of Female Beneficiaries |
920 |
Number Of Male Beneficiaries |
984 |
Number Of Non Hispanic White Beneficiaries |
1789 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1545 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
359 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.467 |