National Provider Identifier [NPI]: |
1265493969 |
Last Name Of The Provider |
SEILER |
First Name Of The Provider |
ANGELE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1635 NORTH GEORGE MASON DR., SUITE 490 |
Street Address 2 Of The Provider |
ARLINGTON PRIMARY CARE, P.C. |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222053671 |
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 |
27 |
Number Of Services |
1706 |
Number Of Medicare Beneficiaries |
313 |
Total Submitted Charge Amount |
234660 |
Total Medicare Allowed Amount |
109055.48 |
Total Medicare Payment Amount |
77644.36 |
Total Medicare Standardized Payment Amount |
70633.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
449 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
31602 |
Total Drug Medicare AllowedAmount |
14337.45 |
Total Drug Medicare PaymentAmount |
12948.33 |
Total Drug Medicare Standardized Payment Amount |
12948.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
1257 |
Number Of Medicare Beneficiaries With Medical Services |
313 |
Total Medical Submitted Charge Amount |
203058 |
Total Medical Medicare Allowed Amount |
94718.03 |
Total Medical Medicare Payment Amount |
64696.03 |
Total Medical Medicare Standardized Payment Amount |
57685.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
86 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
72 |
Number Of Non Hispanic White Beneficiaries |
245 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8809 |