National Provider Identifier [NPI]: |
1093888745 |
Last Name Of The Provider |
NICHOLSON |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7702 EAST PARHAM ROAD |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
23294 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
14497.2 |
Number Of Medicare Beneficiaries |
1732 |
Total Submitted Charge Amount |
2463455.8 |
Total Medicare Allowed Amount |
641677.55 |
Total Medicare Payment Amount |
477356.87 |
Total Medicare Standardized Payment Amount |
479912.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
7802.2 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
39491.8 |
Total Drug Medicare AllowedAmount |
21881.97 |
Total Drug Medicare PaymentAmount |
16820.21 |
Total Drug Medicare Standardized Payment Amount |
16820.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
6695 |
Number Of Medicare Beneficiaries With Medical Services |
1732 |
Total Medical Submitted Charge Amount |
2423964 |
Total Medical Medicare Allowed Amount |
619795.58 |
Total Medical Medicare Payment Amount |
460536.66 |
Total Medical Medicare Standardized Payment Amount |
463092.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
640 |
Number Of Beneficiaries Age 75 to 84 |
642 |
Number Of Beneficiaries Age Greater 84 |
329 |
Number Of Female Beneficiaries |
992 |
Number Of Male Beneficiaries |
740 |
Number Of Non Hispanic White Beneficiaries |
1374 |
Number Of Black or African American Beneficiaries |
312 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
1572 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.3482 |