National Provider Identifier [NPI]: |
1952378952 |
Last Name Of The Provider |
BALINT |
First Name Of The Provider |
VIRGIL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1860 TOWN CENTER DR |
Street Address 2 Of The Provider |
STE 430 |
City Of The Provider |
RESTON |
Zip Code Of The Provider |
201905896 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
5271 |
Number Of Medicare Beneficiaries |
542 |
Total Submitted Charge Amount |
1621182 |
Total Medicare Allowed Amount |
402230.6 |
Total Medicare Payment Amount |
292991.37 |
Total Medicare Standardized Payment Amount |
249699.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
2638 |
Number Of Medicare Beneficiaries With Drug Services |
309 |
Total Drug Submitted ChargeAmount |
117169 |
Total Drug Medicare AllowedAmount |
15275.91 |
Total Drug Medicare PaymentAmount |
11717.73 |
Total Drug Medicare Standardized Payment Amount |
11717.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2633 |
Number Of Medicare Beneficiaries With Medical Services |
542 |
Total Medical Submitted Charge Amount |
1504013 |
Total Medical Medicare Allowed Amount |
386954.69 |
Total Medical Medicare Payment Amount |
281273.64 |
Total Medical Medicare Standardized Payment Amount |
237982.06 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
230 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
344 |
Number Of Male Beneficiaries |
198 |
Number Of Non Hispanic White Beneficiaries |
465 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0935 |