National Provider Identifier [NPI]: |
1003812082 |
Last Name Of The Provider |
WINKE |
First Name Of The Provider |
BETH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5226 INDIAN RIVER RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234646179 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
6593 |
Number Of Medicare Beneficiaries |
572 |
Total Submitted Charge Amount |
1448069 |
Total Medicare Allowed Amount |
563867.38 |
Total Medicare Payment Amount |
437550.74 |
Total Medicare Standardized Payment Amount |
454689.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
634 |
Number Of Medicare Beneficiaries With Drug Services |
200 |
Total Drug Submitted ChargeAmount |
11038 |
Total Drug Medicare AllowedAmount |
4927.99 |
Total Drug Medicare PaymentAmount |
3830.67 |
Total Drug Medicare Standardized Payment Amount |
3830.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
5959 |
Number Of Medicare Beneficiaries With Medical Services |
572 |
Total Medical Submitted Charge Amount |
1437031 |
Total Medical Medicare Allowed Amount |
558939.39 |
Total Medical Medicare Payment Amount |
433720.07 |
Total Medical Medicare Standardized Payment Amount |
450858.94 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
284 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
428 |
Number Of Black or African American Beneficiaries |
128 |
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 |
402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2912 |