National Provider Identifier [NPI]: |
1336151349 |
Last Name Of The Provider |
ENELOW |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6035 BURKE CENTRE PKWY |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
BURKE |
Zip Code Of The Provider |
220153750 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4859 |
Number Of Medicare Beneficiaries |
857 |
Total Submitted Charge Amount |
505778.98 |
Total Medicare Allowed Amount |
328453.3 |
Total Medicare Payment Amount |
234549.73 |
Total Medicare Standardized Payment Amount |
211730.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
252 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
7158.62 |
Total Drug Medicare AllowedAmount |
4911.16 |
Total Drug Medicare PaymentAmount |
4659.74 |
Total Drug Medicare Standardized Payment Amount |
4659.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
4607 |
Number Of Medicare Beneficiaries With Medical Services |
857 |
Total Medical Submitted Charge Amount |
498620.36 |
Total Medical Medicare Allowed Amount |
323542.14 |
Total Medical Medicare Payment Amount |
229889.99 |
Total Medical Medicare Standardized Payment Amount |
207070.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
546 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
435 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
771 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
14 |
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 |
845 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.7411 |