National Provider Identifier [NPI]: |
1851397467 |
Last Name Of The Provider |
DAY |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4660 KENMORE AVE. |
Street Address 2 Of The Provider |
STE 1200 |
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
223041311 |
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 |
53 |
Number Of Services |
3884 |
Number Of Medicare Beneficiaries |
2351 |
Total Submitted Charge Amount |
717683.8 |
Total Medicare Allowed Amount |
317358.15 |
Total Medicare Payment Amount |
239058.7 |
Total Medicare Standardized Payment Amount |
215459.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
8520 |
Total Drug Medicare AllowedAmount |
8452.53 |
Total Drug Medicare PaymentAmount |
6539.68 |
Total Drug Medicare Standardized Payment Amount |
6539.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3720 |
Number Of Medicare Beneficiaries With Medical Services |
2351 |
Total Medical Submitted Charge Amount |
709163.8 |
Total Medical Medicare Allowed Amount |
308905.62 |
Total Medical Medicare Payment Amount |
232519.02 |
Total Medical Medicare Standardized Payment Amount |
208919.93 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
779 |
Number Of Beneficiaries Age 75 to 84 |
755 |
Number Of Beneficiaries Age Greater 84 |
581 |
Number Of Female Beneficiaries |
1233 |
Number Of Male Beneficiaries |
1118 |
Number Of Non Hispanic White Beneficiaries |
1669 |
Number Of Black or African American Beneficiaries |
345 |
Number Of AsianPacific Islander Beneficiaries |
158 |
Number Of Hispanic Beneficiaries |
125 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1926 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
425 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.7847 |