National Provider Identifier [NPI]: |
1326027640 |
Last Name Of The Provider |
OSBORN |
First Name Of The Provider |
STEVEN |
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 |
5303 INDIAN GRAVE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROANOKE |
Zip Code Of The Provider |
240189107 |
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 |
90 |
Number Of Services |
2591 |
Number Of Medicare Beneficiaries |
1043 |
Total Submitted Charge Amount |
327747 |
Total Medicare Allowed Amount |
172951.45 |
Total Medicare Payment Amount |
118185.78 |
Total Medicare Standardized Payment Amount |
122299.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
255 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
9635 |
Total Drug Medicare AllowedAmount |
700.96 |
Total Drug Medicare PaymentAmount |
448.87 |
Total Drug Medicare Standardized Payment Amount |
448.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
2336 |
Number Of Medicare Beneficiaries With Medical Services |
1043 |
Total Medical Submitted Charge Amount |
318112 |
Total Medical Medicare Allowed Amount |
172250.49 |
Total Medical Medicare Payment Amount |
117736.91 |
Total Medical Medicare Standardized Payment Amount |
121850.67 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
507 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
704 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
954 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
944 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8736 |