National Provider Identifier [NPI]: |
1407842263 |
Last Name Of The Provider |
MARROW |
First Name Of The Provider |
CINDY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 OLDE GREENWICH DR STE 300 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDERICKSBURG |
Zip Code Of The Provider |
224084008 |
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 |
65 |
Number Of Services |
4664 |
Number Of Medicare Beneficiaries |
1091 |
Total Submitted Charge Amount |
496949 |
Total Medicare Allowed Amount |
341467.87 |
Total Medicare Payment Amount |
242194.48 |
Total Medicare Standardized Payment Amount |
251315.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
475 |
Number Of Medicare Beneficiaries With Drug Services |
317 |
Total Drug Submitted ChargeAmount |
57952 |
Total Drug Medicare AllowedAmount |
31231.94 |
Total Drug Medicare PaymentAmount |
30032.18 |
Total Drug Medicare Standardized Payment Amount |
30032.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4189 |
Number Of Medicare Beneficiaries With Medical Services |
1091 |
Total Medical Submitted Charge Amount |
438997 |
Total Medical Medicare Allowed Amount |
310235.93 |
Total Medical Medicare Payment Amount |
212162.3 |
Total Medical Medicare Standardized Payment Amount |
221283.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
570 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
737 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
989 |
Number Of Black or African American Beneficiaries |
82 |
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 |
1059 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0682 |