National Provider Identifier [NPI]: |
1427216589 |
Last Name Of The Provider |
LINDSAY |
First Name Of The Provider |
ARTHUR |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12101 S CHALKLEY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHESTER |
Zip Code Of The Provider |
238313755 |
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 |
74 |
Number Of Services |
1397 |
Number Of Medicare Beneficiaries |
510 |
Total Submitted Charge Amount |
129334 |
Total Medicare Allowed Amount |
51147.94 |
Total Medicare Payment Amount |
35772.94 |
Total Medicare Standardized Payment Amount |
44798.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
939 |
Total Drug Medicare AllowedAmount |
384.97 |
Total Drug Medicare PaymentAmount |
345.6 |
Total Drug Medicare Standardized Payment Amount |
345.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
1340 |
Number Of Medicare Beneficiaries With Medical Services |
510 |
Total Medical Submitted Charge Amount |
128395 |
Total Medical Medicare Allowed Amount |
50762.97 |
Total Medical Medicare Payment Amount |
35427.34 |
Total Medical Medicare Standardized Payment Amount |
44453.19 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
406 |
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 |
469 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0171 |