National Provider Identifier [NPI]: |
1295746246 |
Last Name Of The Provider |
VU |
First Name Of The Provider |
ANDREA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D, |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
111 WOLF CREEK BLVD |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199014969 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1446 |
Number Of Medicare Beneficiaries |
349 |
Total Submitted Charge Amount |
149702 |
Total Medicare Allowed Amount |
114294.08 |
Total Medicare Payment Amount |
82756.07 |
Total Medicare Standardized Payment Amount |
82583.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
5732 |
Total Drug Medicare AllowedAmount |
3582.02 |
Total Drug Medicare PaymentAmount |
3499.22 |
Total Drug Medicare Standardized Payment Amount |
3499.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1327 |
Number Of Medicare Beneficiaries With Medical Services |
349 |
Total Medical Submitted Charge Amount |
143970 |
Total Medical Medicare Allowed Amount |
110712.06 |
Total Medical Medicare Payment Amount |
79256.85 |
Total Medical Medicare Standardized Payment Amount |
79084.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
268 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1437 |