National Provider Identifier [NPI]: |
1871521070 |
Last Name Of The Provider |
MAAN |
First Name Of The Provider |
VIKAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
740 JESSIE DUPONT MEMORIAL HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BURGESS |
Zip Code Of The Provider |
22432 |
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 |
150 |
Number Of Services |
11445 |
Number Of Medicare Beneficiaries |
579 |
Total Submitted Charge Amount |
677143 |
Total Medicare Allowed Amount |
407179.67 |
Total Medicare Payment Amount |
303557.58 |
Total Medicare Standardized Payment Amount |
312316.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1893 |
Number Of Medicare Beneficiaries With Drug Services |
266 |
Total Drug Submitted ChargeAmount |
44282 |
Total Drug Medicare AllowedAmount |
21788.86 |
Total Drug Medicare PaymentAmount |
17585.72 |
Total Drug Medicare Standardized Payment Amount |
17585.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
9552 |
Number Of Medicare Beneficiaries With Medical Services |
579 |
Total Medical Submitted Charge Amount |
632861 |
Total Medical Medicare Allowed Amount |
385390.81 |
Total Medical Medicare Payment Amount |
285971.86 |
Total Medical Medicare Standardized Payment Amount |
294731.2 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
437 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8949 |