National Provider Identifier [NPI]: |
1871511428 |
Last Name Of The Provider |
HITE |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
113 NATIONWIDE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNCHBURG |
Zip Code Of The Provider |
245024272 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
183 |
Number Of Services |
14588 |
Number Of Medicare Beneficiaries |
4068 |
Total Submitted Charge Amount |
1127023.5 |
Total Medicare Allowed Amount |
443155.7 |
Total Medicare Payment Amount |
330375.57 |
Total Medicare Standardized Payment Amount |
335907.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
8475 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
7774.5 |
Total Drug Medicare AllowedAmount |
2655.78 |
Total Drug Medicare PaymentAmount |
2082.05 |
Total Drug Medicare Standardized Payment Amount |
2082.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
181 |
Number Of Medical Services |
6113 |
Number Of Medicare Beneficiaries With Medical Services |
4068 |
Total Medical Submitted Charge Amount |
1119249 |
Total Medical Medicare Allowed Amount |
440499.92 |
Total Medical Medicare Payment Amount |
328293.52 |
Total Medical Medicare Standardized Payment Amount |
333825.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
860 |
Number Of Beneficiaries Age 65 to 74 |
1411 |
Number Of Beneficiaries Age 75 to 84 |
1140 |
Number Of Beneficiaries Age Greater 84 |
657 |
Number Of Female Beneficiaries |
2383 |
Number Of Male Beneficiaries |
1685 |
Number Of Non Hispanic White Beneficiaries |
3160 |
Number Of Black or African American Beneficiaries |
854 |
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 |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2874 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1194 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6614 |