National Provider Identifier [NPI]: |
1952392870 |
Last Name Of The Provider |
UY |
First Name Of The Provider |
ADRIAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6060 ARLINGTON BLVD |
Street Address 2 Of The Provider |
FALLS CHURCH MEDICAL CENTER |
City Of The Provider |
FALLS CHURCH |
Zip Code Of The Provider |
220442943 |
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 |
53 |
Number Of Services |
1954 |
Number Of Medicare Beneficiaries |
388 |
Total Submitted Charge Amount |
200090 |
Total Medicare Allowed Amount |
157741.23 |
Total Medicare Payment Amount |
112469.11 |
Total Medicare Standardized Payment Amount |
100562.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
193 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
8750 |
Total Drug Medicare AllowedAmount |
6510.1 |
Total Drug Medicare PaymentAmount |
6366.96 |
Total Drug Medicare Standardized Payment Amount |
6366.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
1761 |
Number Of Medicare Beneficiaries With Medical Services |
388 |
Total Medical Submitted Charge Amount |
191340 |
Total Medical Medicare Allowed Amount |
151231.13 |
Total Medical Medicare Payment Amount |
106102.15 |
Total Medical Medicare Standardized Payment Amount |
94195.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
233 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0603 |