National Provider Identifier [NPI]: |
1972840940 |
Last Name Of The Provider |
PAGE |
First Name Of The Provider |
AMANDA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
P.A. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 LAMB CIR |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
CHRISTIANSBURG |
Zip Code Of The Provider |
240736344 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1063 |
Number Of Medicare Beneficiaries |
453 |
Total Submitted Charge Amount |
82036 |
Total Medicare Allowed Amount |
53522.2 |
Total Medicare Payment Amount |
37624.29 |
Total Medicare Standardized Payment Amount |
45921.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
518 |
Total Drug Medicare AllowedAmount |
206.46 |
Total Drug Medicare PaymentAmount |
186.1 |
Total Drug Medicare Standardized Payment Amount |
186.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1002 |
Number Of Medicare Beneficiaries With Medical Services |
453 |
Total Medical Submitted Charge Amount |
81518 |
Total Medical Medicare Allowed Amount |
53315.74 |
Total Medical Medicare Payment Amount |
37438.19 |
Total Medical Medicare Standardized Payment Amount |
45734.94 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
298 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
422 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
387 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.1832 |