National Provider Identifier [NPI]: |
1316926207 |
Last Name Of The Provider |
RENNINGER |
First Name Of The Provider |
VALERIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
320 FEDERAL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNCHBURG |
Zip Code Of The Provider |
245042306 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
838 |
Number Of Medicare Beneficiaries |
620 |
Total Submitted Charge Amount |
80112.29 |
Total Medicare Allowed Amount |
51524.48 |
Total Medicare Payment Amount |
39752.88 |
Total Medicare Standardized Payment Amount |
40751.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
490.45 |
Total Drug Medicare AllowedAmount |
232.57 |
Total Drug Medicare PaymentAmount |
214.39 |
Total Drug Medicare Standardized Payment Amount |
214.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
818 |
Number Of Medicare Beneficiaries With Medical Services |
619 |
Total Medical Submitted Charge Amount |
79621.84 |
Total Medical Medicare Allowed Amount |
51291.91 |
Total Medical Medicare Payment Amount |
39538.49 |
Total Medical Medicare Standardized Payment Amount |
40537.33 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
397 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
402 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
384 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
236 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3729 |