National Provider Identifier [NPI]: |
1013964667 |
Last Name Of The Provider |
SADDINGTON |
First Name Of The Provider |
JULIA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
P.A. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1115 BOULDERS PKWY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NORTH CHESTERFIELD |
Zip Code Of The Provider |
232254067 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
994 |
Number Of Medicare Beneficiaries |
295 |
Total Submitted Charge Amount |
187826 |
Total Medicare Allowed Amount |
55983.81 |
Total Medicare Payment Amount |
41438.68 |
Total Medicare Standardized Payment Amount |
47318.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
271 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
4328 |
Total Drug Medicare AllowedAmount |
3269.23 |
Total Drug Medicare PaymentAmount |
2533.33 |
Total Drug Medicare Standardized Payment Amount |
2533.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
723 |
Number Of Medicare Beneficiaries With Medical Services |
295 |
Total Medical Submitted Charge Amount |
183498 |
Total Medical Medicare Allowed Amount |
52714.58 |
Total Medical Medicare Payment Amount |
38905.35 |
Total Medical Medicare Standardized Payment Amount |
44785.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
228 |
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 |
255 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9989 |