National Provider Identifier [NPI]: |
1609809623 |
Last Name Of The Provider |
NEWBY |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 RIVERVIEW AVENUE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235101064 |
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 |
84 |
Number Of Services |
8629 |
Number Of Medicare Beneficiaries |
1491 |
Total Submitted Charge Amount |
1776473 |
Total Medicare Allowed Amount |
914521.42 |
Total Medicare Payment Amount |
681572.45 |
Total Medicare Standardized Payment Amount |
692773.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
490 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
24969 |
Total Drug Medicare AllowedAmount |
24944.7 |
Total Drug Medicare PaymentAmount |
19107.61 |
Total Drug Medicare Standardized Payment Amount |
19107.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
8139 |
Number Of Medicare Beneficiaries With Medical Services |
1491 |
Total Medical Submitted Charge Amount |
1751504 |
Total Medical Medicare Allowed Amount |
889576.72 |
Total Medical Medicare Payment Amount |
662464.84 |
Total Medical Medicare Standardized Payment Amount |
673666.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
246 |
Number Of Beneficiaries Age 65 to 74 |
574 |
Number Of Beneficiaries Age 75 to 84 |
465 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
879 |
Number Of Male Beneficiaries |
612 |
Number Of Non Hispanic White Beneficiaries |
332 |
Number Of Black or African American Beneficiaries |
1130 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
388 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8035 |