National Provider Identifier [NPI]: |
1972594273 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 PLANTATION RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLACKSBURG |
Zip Code Of The Provider |
240603833 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
1419 |
Number Of Medicare Beneficiaries |
336 |
Total Submitted Charge Amount |
89897 |
Total Medicare Allowed Amount |
63988.27 |
Total Medicare Payment Amount |
43443.31 |
Total Medicare Standardized Payment Amount |
45335.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
81 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
5428 |
Total Drug Medicare AllowedAmount |
3721.88 |
Total Drug Medicare PaymentAmount |
3639.6 |
Total Drug Medicare Standardized Payment Amount |
3639.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1338 |
Number Of Medicare Beneficiaries With Medical Services |
336 |
Total Medical Submitted Charge Amount |
84469 |
Total Medical Medicare Allowed Amount |
60266.39 |
Total Medical Medicare Payment Amount |
39803.71 |
Total Medical Medicare Standardized Payment Amount |
41695.92 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
317 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
305 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.976 |