National Provider Identifier [NPI]: |
1326036922 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
KYLE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1840 AMHERST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
226012808 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
6350 |
Number Of Medicare Beneficiaries |
4207 |
Total Submitted Charge Amount |
865633 |
Total Medicare Allowed Amount |
183266.12 |
Total Medicare Payment Amount |
136198.98 |
Total Medicare Standardized Payment Amount |
140341.94 |
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 |
165 |
Number Of Medical Services |
6350 |
Number Of Medicare Beneficiaries With Medical Services |
4207 |
Total Medical Submitted Charge Amount |
865633 |
Total Medical Medicare Allowed Amount |
183266.12 |
Total Medical Medicare Payment Amount |
136198.98 |
Total Medical Medicare Standardized Payment Amount |
140341.94 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
663 |
Number Of Beneficiaries Age 65 to 74 |
1579 |
Number Of Beneficiaries Age 75 to 84 |
1296 |
Number Of Beneficiaries Age Greater 84 |
669 |
Number Of Female Beneficiaries |
2402 |
Number Of Male Beneficiaries |
1805 |
Number Of Non Hispanic White Beneficiaries |
3971 |
Number Of Black or African American Beneficiaries |
148 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
3287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
920 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5253 |