National Provider Identifier [NPI]: |
1437588134 |
Last Name Of The Provider |
HINKLE |
First Name Of The Provider |
KRISTYN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
52 W SHIRLEY AVE |
Street Address 2 Of The Provider |
BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. |
City Of The Provider |
WARRENTON |
Zip Code Of The Provider |
201863008 |
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 |
78 |
Number Of Services |
660 |
Number Of Medicare Beneficiaries |
305 |
Total Submitted Charge Amount |
231372.5 |
Total Medicare Allowed Amount |
38244.49 |
Total Medicare Payment Amount |
27477.78 |
Total Medicare Standardized Payment Amount |
32839.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
102 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
838 |
Total Drug Medicare AllowedAmount |
273.21 |
Total Drug Medicare PaymentAmount |
202.8 |
Total Drug Medicare Standardized Payment Amount |
202.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
558 |
Number Of Medicare Beneficiaries With Medical Services |
305 |
Total Medical Submitted Charge Amount |
230534.5 |
Total Medical Medicare Allowed Amount |
37971.28 |
Total Medical Medicare Payment Amount |
27274.98 |
Total Medical Medicare Standardized Payment Amount |
32636.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
124 |
Number Of Non Hispanic White Beneficiaries |
269 |
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 |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0442 |