National Provider Identifier [NPI]: |
1861603532 |
Last Name Of The Provider |
MALINI |
First Name Of The Provider |
LUIZ |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8109 HINSON FARM RD |
Street Address 2 Of The Provider |
SUITE 504 |
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
223063415 |
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 |
24 |
Number Of Services |
1837 |
Number Of Medicare Beneficiaries |
875 |
Total Submitted Charge Amount |
344615.5 |
Total Medicare Allowed Amount |
207826.71 |
Total Medicare Payment Amount |
157377.19 |
Total Medicare Standardized Payment Amount |
145922.24 |
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 |
24 |
Number Of Medical Services |
1837 |
Number Of Medicare Beneficiaries With Medical Services |
875 |
Total Medical Submitted Charge Amount |
344615.5 |
Total Medical Medicare Allowed Amount |
207826.71 |
Total Medical Medicare Payment Amount |
157377.19 |
Total Medical Medicare Standardized Payment Amount |
145922.24 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
277 |
Number Of Beneficiaries Age Greater 84 |
232 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
349 |
Number Of Non Hispanic White Beneficiaries |
648 |
Number Of Black or African American Beneficiaries |
146 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
719 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.555 |