National Provider Identifier [NPI]: |
1013988476 |
Last Name Of The Provider |
BARBER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
329 PHILLIP AVENUE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234544380 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
2637 |
Number Of Medicare Beneficiaries |
976 |
Total Submitted Charge Amount |
1771689 |
Total Medicare Allowed Amount |
770449 |
Total Medicare Payment Amount |
592326.44 |
Total Medicare Standardized Payment Amount |
613535.18 |
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 |
123 |
Number Of Medical Services |
2637 |
Number Of Medicare Beneficiaries With Medical Services |
976 |
Total Medical Submitted Charge Amount |
1771689 |
Total Medical Medicare Allowed Amount |
770449 |
Total Medical Medicare Payment Amount |
592326.44 |
Total Medical Medicare Standardized Payment Amount |
613535.18 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
291 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
428 |
Number Of Non Hispanic White Beneficiaries |
653 |
Number Of Black or African American Beneficiaries |
285 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
780 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2544 |