National Provider Identifier [NPI]: |
1306825708 |
Last Name Of The Provider |
HO |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5544 GREENWICH RD STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234626563 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
230 |
Number Of Services |
28294 |
Number Of Medicare Beneficiaries |
2574 |
Total Submitted Charge Amount |
3223150.2 |
Total Medicare Allowed Amount |
860224.45 |
Total Medicare Payment Amount |
667310.03 |
Total Medicare Standardized Payment Amount |
691729.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23866 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
57538.2 |
Total Drug Medicare AllowedAmount |
4636.82 |
Total Drug Medicare PaymentAmount |
3609.85 |
Total Drug Medicare Standardized Payment Amount |
3609.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
227 |
Number Of Medical Services |
4428 |
Number Of Medicare Beneficiaries With Medical Services |
2574 |
Total Medical Submitted Charge Amount |
3165612 |
Total Medical Medicare Allowed Amount |
855587.63 |
Total Medical Medicare Payment Amount |
663700.18 |
Total Medical Medicare Standardized Payment Amount |
688120.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
556 |
Number Of Beneficiaries Age 65 to 74 |
879 |
Number Of Beneficiaries Age 75 to 84 |
771 |
Number Of Beneficiaries Age Greater 84 |
368 |
Number Of Female Beneficiaries |
1409 |
Number Of Male Beneficiaries |
1165 |
Number Of Non Hispanic White Beneficiaries |
1481 |
Number Of Black or African American Beneficiaries |
967 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1969 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
605 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.6279 |