National Provider Identifier [NPI]: |
1477653236 |
Last Name Of The Provider |
MCCRAY |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
612 KINGSBOROUGH SQ |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CHESAPEAKE |
Zip Code Of The Provider |
233205041 |
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 |
75 |
Number Of Services |
2831 |
Number Of Medicare Beneficiaries |
1514 |
Total Submitted Charge Amount |
496405.55 |
Total Medicare Allowed Amount |
200833.59 |
Total Medicare Payment Amount |
151786.7 |
Total Medicare Standardized Payment Amount |
157226.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
165 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
9589.43 |
Total Drug Medicare AllowedAmount |
8293.24 |
Total Drug Medicare PaymentAmount |
6501.87 |
Total Drug Medicare Standardized Payment Amount |
6501.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
2666 |
Number Of Medicare Beneficiaries With Medical Services |
1514 |
Total Medical Submitted Charge Amount |
486816.12 |
Total Medical Medicare Allowed Amount |
192540.35 |
Total Medical Medicare Payment Amount |
145284.83 |
Total Medical Medicare Standardized Payment Amount |
150724.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
578 |
Number Of Beneficiaries Age 75 to 84 |
485 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
735 |
Number Of Male Beneficiaries |
779 |
Number Of Non Hispanic White Beneficiaries |
1200 |
Number Of Black or African American Beneficiaries |
244 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1338 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8586 |