National Provider Identifier [NPI]: |
1750459228 |
Last Name Of The Provider |
SWANK |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16000 JOHNSTON MEMORIAL DR |
Street Address 2 Of The Provider |
SUITE 213 |
City Of The Provider |
ABINGDON |
Zip Code Of The Provider |
242117659 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
4169 |
Number Of Medicare Beneficiaries |
559 |
Total Submitted Charge Amount |
431666 |
Total Medicare Allowed Amount |
212915.31 |
Total Medicare Payment Amount |
146966.49 |
Total Medicare Standardized Payment Amount |
150185.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
575 |
Number Of Medicare Beneficiaries With Drug Services |
255 |
Total Drug Submitted ChargeAmount |
24679 |
Total Drug Medicare AllowedAmount |
17298.75 |
Total Drug Medicare PaymentAmount |
16535.67 |
Total Drug Medicare Standardized Payment Amount |
16535.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3594 |
Number Of Medicare Beneficiaries With Medical Services |
559 |
Total Medical Submitted Charge Amount |
406987 |
Total Medical Medicare Allowed Amount |
195616.56 |
Total Medical Medicare Payment Amount |
130430.82 |
Total Medical Medicare Standardized Payment Amount |
133649.81 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9996 |