National Provider Identifier [NPI]: |
1700868916 |
Last Name Of The Provider |
HUNLEY |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. FACC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1250 E MARSHALL ST |
Street Address 2 Of The Provider |
INTERVENTIONAL CARDIOLOGY 980036 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232985051 |
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 |
39 |
Number Of Services |
4120 |
Number Of Medicare Beneficiaries |
1549 |
Total Submitted Charge Amount |
456181.27 |
Total Medicare Allowed Amount |
200648.9 |
Total Medicare Payment Amount |
152945.06 |
Total Medicare Standardized Payment Amount |
159102.46 |
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 |
39 |
Number Of Medical Services |
4120 |
Number Of Medicare Beneficiaries With Medical Services |
1549 |
Total Medical Submitted Charge Amount |
456181.27 |
Total Medical Medicare Allowed Amount |
200648.9 |
Total Medical Medicare Payment Amount |
152945.06 |
Total Medical Medicare Standardized Payment Amount |
159102.46 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
300 |
Number Of Beneficiaries Age 65 to 74 |
563 |
Number Of Beneficiaries Age 75 to 84 |
460 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
859 |
Number Of Male Beneficiaries |
690 |
Number Of Non Hispanic White Beneficiaries |
1383 |
Number Of Black or African American Beneficiaries |
111 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
442 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5927 |