National Provider Identifier [NPI]: |
1861483786 |
Last Name Of The Provider |
REMY |
First Name Of The Provider |
TERRI |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 N. BEAUREGARD ST, SUITE 300 |
Street Address 2 Of The Provider |
MEDICAL ASSOCIATES AT BEAUREGARD |
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
223111732 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
1321 |
Number Of Medicare Beneficiaries |
282 |
Total Submitted Charge Amount |
222439.4 |
Total Medicare Allowed Amount |
90153.67 |
Total Medicare Payment Amount |
64369.14 |
Total Medicare Standardized Payment Amount |
57761.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
6652 |
Total Drug Medicare AllowedAmount |
3422.28 |
Total Drug Medicare PaymentAmount |
3313.13 |
Total Drug Medicare Standardized Payment Amount |
3313.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1124 |
Number Of Medicare Beneficiaries With Medical Services |
282 |
Total Medical Submitted Charge Amount |
215787.4 |
Total Medical Medicare Allowed Amount |
86731.39 |
Total Medical Medicare Payment Amount |
61056.01 |
Total Medical Medicare Standardized Payment Amount |
54448.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
244 |
Number Of Black or African American Beneficiaries |
|
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8191 |