National Provider Identifier [NPI]: |
1962466334 |
Last Name Of The Provider |
MAGEE |
First Name Of The Provider |
ANNA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 PETER JEFFERSON PARKWAY |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229118835 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
7979 |
Number Of Medicare Beneficiaries |
1358 |
Total Submitted Charge Amount |
781703.4 |
Total Medicare Allowed Amount |
510921.58 |
Total Medicare Payment Amount |
367367.94 |
Total Medicare Standardized Payment Amount |
371152.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
136 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
37572.4 |
Total Drug Medicare AllowedAmount |
29582.58 |
Total Drug Medicare PaymentAmount |
23094.94 |
Total Drug Medicare Standardized Payment Amount |
23094.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
7843 |
Number Of Medicare Beneficiaries With Medical Services |
1358 |
Total Medical Submitted Charge Amount |
744131 |
Total Medical Medicare Allowed Amount |
481339 |
Total Medical Medicare Payment Amount |
344273 |
Total Medical Medicare Standardized Payment Amount |
348057.66 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
780 |
Number Of Beneficiaries Age 75 to 84 |
417 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
803 |
Number Of Male Beneficiaries |
555 |
Number Of Non Hispanic White Beneficiaries |
1294 |
Number Of Black or African American Beneficiaries |
13 |
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 |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1332 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7822 |