National Provider Identifier [NPI]: |
1447216163 |
Last Name Of The Provider |
LOVELACE |
First Name Of The Provider |
NANCE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9166 N CONGRESS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW MARKET |
Zip Code Of The Provider |
228449422 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2069 |
Number Of Medicare Beneficiaries |
307 |
Total Submitted Charge Amount |
215723.49 |
Total Medicare Allowed Amount |
109741.18 |
Total Medicare Payment Amount |
74854.71 |
Total Medicare Standardized Payment Amount |
77121.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
96 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
2010.41 |
Total Drug Medicare AllowedAmount |
1245.04 |
Total Drug Medicare PaymentAmount |
1209.54 |
Total Drug Medicare Standardized Payment Amount |
1209.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1973 |
Number Of Medicare Beneficiaries With Medical Services |
307 |
Total Medical Submitted Charge Amount |
213713.08 |
Total Medical Medicare Allowed Amount |
108496.14 |
Total Medical Medicare Payment Amount |
73645.17 |
Total Medical Medicare Standardized Payment Amount |
75911.59 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
283 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0109 |