National Provider Identifier [NPI]: |
1710912704 |
Last Name Of The Provider |
ANDREWS |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2405 ATHERHOLT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNCHBURG |
Zip Code Of The Provider |
245012184 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
164 |
Number Of Services |
8151 |
Number Of Medicare Beneficiaries |
923 |
Total Submitted Charge Amount |
1185777.38 |
Total Medicare Allowed Amount |
448766.67 |
Total Medicare Payment Amount |
334690.67 |
Total Medicare Standardized Payment Amount |
343076.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3618 |
Number Of Medicare Beneficiaries With Drug Services |
404 |
Total Drug Submitted ChargeAmount |
42131.4 |
Total Drug Medicare AllowedAmount |
28124.17 |
Total Drug Medicare PaymentAmount |
21661.32 |
Total Drug Medicare Standardized Payment Amount |
21661.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
4533 |
Number Of Medicare Beneficiaries With Medical Services |
923 |
Total Medical Submitted Charge Amount |
1143645.98 |
Total Medical Medicare Allowed Amount |
420642.5 |
Total Medical Medicare Payment Amount |
313029.35 |
Total Medical Medicare Standardized Payment Amount |
321415.55 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
409 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
639 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
787 |
Number Of Black or African American Beneficiaries |
121 |
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 |
767 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0645 |