National Provider Identifier [NPI]: |
1902807449 |
Last Name Of The Provider |
DELIANIDES |
First Name Of The Provider |
ARIS |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1012 FIRST COLONIAL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234543072 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
7469 |
Number Of Medicare Beneficiaries |
1861 |
Total Submitted Charge Amount |
1769489 |
Total Medicare Allowed Amount |
831778.3 |
Total Medicare Payment Amount |
597031.87 |
Total Medicare Standardized Payment Amount |
616619.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
7469 |
Number Of Medicare Beneficiaries With Medical Services |
1861 |
Total Medical Submitted Charge Amount |
1769489 |
Total Medical Medicare Allowed Amount |
831778.3 |
Total Medical Medicare Payment Amount |
597031.87 |
Total Medical Medicare Standardized Payment Amount |
616619.71 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
846 |
Number Of Beneficiaries Age 75 to 84 |
680 |
Number Of Beneficiaries Age Greater 84 |
241 |
Number Of Female Beneficiaries |
1082 |
Number Of Male Beneficiaries |
779 |
Number Of Non Hispanic White Beneficiaries |
1582 |
Number Of Black or African American Beneficiaries |
156 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
1753 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0315 |