National Provider Identifier [NPI]: |
1316941297 |
Last Name Of The Provider |
HATFIELD |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
331 LAIDLEY ST |
Street Address 2 Of The Provider |
STE 301 |
City Of The Provider |
CHARLESTON |
Zip Code Of The Provider |
253011605 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
13276 |
Number Of Medicare Beneficiaries |
1553 |
Total Submitted Charge Amount |
5503386.79 |
Total Medicare Allowed Amount |
1928074.04 |
Total Medicare Payment Amount |
1452299.01 |
Total Medicare Standardized Payment Amount |
1545650.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1454 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
987016.25 |
Total Drug Medicare AllowedAmount |
783963.43 |
Total Drug Medicare PaymentAmount |
611037.77 |
Total Drug Medicare Standardized Payment Amount |
611037.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
11822 |
Number Of Medicare Beneficiaries With Medical Services |
1553 |
Total Medical Submitted Charge Amount |
4516370.54 |
Total Medical Medicare Allowed Amount |
1144110.61 |
Total Medical Medicare Payment Amount |
841261.24 |
Total Medical Medicare Standardized Payment Amount |
934612.5 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
536 |
Number Of Beneficiaries Age 75 to 84 |
515 |
Number Of Beneficiaries Age Greater 84 |
323 |
Number Of Female Beneficiaries |
973 |
Number Of Male Beneficiaries |
580 |
Number Of Non Hispanic White Beneficiaries |
1515 |
Number Of Black or African American Beneficiaries |
27 |
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 |
1285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5139 |