National Provider Identifier [NPI]: |
1871660845 |
Last Name Of The Provider |
GARRAWAY |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 SILVERSIDE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198103719 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
4632 |
Number Of Medicare Beneficiaries |
2118 |
Total Submitted Charge Amount |
471274.25 |
Total Medicare Allowed Amount |
301994.41 |
Total Medicare Payment Amount |
207998.13 |
Total Medicare Standardized Payment Amount |
204928.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
764 |
Number Of Medicare Beneficiaries With Drug Services |
354 |
Total Drug Submitted ChargeAmount |
96116.25 |
Total Drug Medicare AllowedAmount |
30593.75 |
Total Drug Medicare PaymentAmount |
23788.69 |
Total Drug Medicare Standardized Payment Amount |
23788.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
3868 |
Number Of Medicare Beneficiaries With Medical Services |
2118 |
Total Medical Submitted Charge Amount |
375158 |
Total Medical Medicare Allowed Amount |
271400.66 |
Total Medical Medicare Payment Amount |
184209.44 |
Total Medical Medicare Standardized Payment Amount |
181139.8 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
846 |
Number Of Beneficiaries Age 75 to 84 |
671 |
Number Of Beneficiaries Age Greater 84 |
435 |
Number Of Female Beneficiaries |
1414 |
Number Of Male Beneficiaries |
704 |
Number Of Non Hispanic White Beneficiaries |
1905 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1921 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9957 |