Medicare Facts for Dr. Richard J. Sears, MD


National Provider Identifier [NPI]: 1467400424
Last Name Of The Provider SEARS
First Name Of The Provider RICHARD
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 190 CAMPUS BLVD
Street Address 2 Of The Provider SUITE 300
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 Gastroenterology
Medicare Participation Indicator Y
Number Of HCPCS 68
Number Of Services 1913
Number Of Medicare Beneficiaries 814
Total Submitted Charge Amount 683599.08
Total Medicare Allowed Amount 262058.31
Total Medicare Payment Amount 206325.94
Total Medicare Standardized Payment Amount 212805.33
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 329
Number Of Medicare Beneficiaries With Drug Services 11
Total Drug Submitted ChargeAmount 45566
Total Drug Medicare AllowedAmount 23714.17
Total Drug Medicare PaymentAmount 18665.53
Total Drug Medicare Standardized Payment Amount 18665.53
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 64
Number Of Medical Services 1584
Number Of Medicare Beneficiaries With Medical Services 814
Total Medical Submitted Charge Amount 638033.08
Total Medical Medicare Allowed Amount 238344.14
Total Medical Medicare Payment Amount 187660.41
Total Medical Medicare Standardized Payment Amount 194139.8
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 109
Number Of Beneficiaries Age 65 to 74 423
Number Of Beneficiaries Age 75 to 84 226
Number Of Beneficiaries Age Greater 84 56
Number Of Female Beneficiaries 414
Number Of Male Beneficiaries 400
Number Of Non Hispanic White Beneficiaries 774
Number Of Black or African American Beneficiaries 26
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 694
Number Of Beneficiaries With Medicare Medicaid Entitlement 120
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 10
Percent Of With Cancer 11
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 24
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1929

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