National Provider Identifier [NPI]: |
1063415859 |
Last Name Of The Provider |
ADKINS |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 GRAND CENTRAL MALL |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
VIENNA |
Zip Code Of The Provider |
261054131 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
6868 |
Number Of Medicare Beneficiaries |
529 |
Total Submitted Charge Amount |
423854 |
Total Medicare Allowed Amount |
171634.46 |
Total Medicare Payment Amount |
126406.94 |
Total Medicare Standardized Payment Amount |
136892.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
247 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
9592 |
Total Drug Medicare AllowedAmount |
6578.64 |
Total Drug Medicare PaymentAmount |
5976.01 |
Total Drug Medicare Standardized Payment Amount |
5976.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
6621 |
Number Of Medicare Beneficiaries With Medical Services |
529 |
Total Medical Submitted Charge Amount |
414262 |
Total Medical Medicare Allowed Amount |
165055.82 |
Total Medical Medicare Payment Amount |
120430.93 |
Total Medical Medicare Standardized Payment Amount |
130916.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
160 |
Number Of Non Hispanic White Beneficiaries |
510 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0061 |