National Provider Identifier [NPI]: |
1053357053 |
Last Name Of The Provider |
KHOURY |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2011 TATE SPRINGS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNCHBURG |
Zip Code Of The Provider |
245011111 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
3758 |
Number Of Medicare Beneficiaries |
1333 |
Total Submitted Charge Amount |
667112.07 |
Total Medicare Allowed Amount |
354914.35 |
Total Medicare Payment Amount |
266410.86 |
Total Medicare Standardized Payment Amount |
273587.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
2395 |
Total Drug Medicare AllowedAmount |
1023.8 |
Total Drug Medicare PaymentAmount |
1003.43 |
Total Drug Medicare Standardized Payment Amount |
1003.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3698 |
Number Of Medicare Beneficiaries With Medical Services |
1333 |
Total Medical Submitted Charge Amount |
664717.07 |
Total Medical Medicare Allowed Amount |
353890.55 |
Total Medical Medicare Payment Amount |
265407.43 |
Total Medical Medicare Standardized Payment Amount |
272583.88 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
265 |
Number Of Beneficiaries Age 65 to 74 |
534 |
Number Of Beneficiaries Age 75 to 84 |
410 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
696 |
Number Of Male Beneficiaries |
637 |
Number Of Non Hispanic White Beneficiaries |
1046 |
Number Of Black or African American Beneficiaries |
255 |
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1013 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
320 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.781 |