National Provider Identifier [NPI]: |
1083601611 |
Last Name Of The Provider |
VRANIAN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 SAM PERRY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDERICKSBURG |
Zip Code Of The Provider |
224014490 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
6914 |
Number Of Medicare Beneficiaries |
2081 |
Total Submitted Charge Amount |
1055151 |
Total Medicare Allowed Amount |
560561.05 |
Total Medicare Payment Amount |
416002.35 |
Total Medicare Standardized Payment Amount |
427998.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
307 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
15935 |
Total Drug Medicare AllowedAmount |
15296.13 |
Total Drug Medicare PaymentAmount |
11721.4 |
Total Drug Medicare Standardized Payment Amount |
11721.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
6607 |
Number Of Medicare Beneficiaries With Medical Services |
2081 |
Total Medical Submitted Charge Amount |
1039216 |
Total Medical Medicare Allowed Amount |
545264.92 |
Total Medical Medicare Payment Amount |
404280.95 |
Total Medical Medicare Standardized Payment Amount |
416276.7 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
786 |
Number Of Beneficiaries Age 75 to 84 |
735 |
Number Of Beneficiaries Age Greater 84 |
396 |
Number Of Female Beneficiaries |
1120 |
Number Of Male Beneficiaries |
961 |
Number Of Non Hispanic White Beneficiaries |
1774 |
Number Of Black or African American Beneficiaries |
256 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1833 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.56 |