National Provider Identifier [NPI]: |
1265475792 |
Last Name Of The Provider |
VOKAC |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 JOHNSTON WILLIS DR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232354765 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
6647.8 |
Number Of Medicare Beneficiaries |
946 |
Total Submitted Charge Amount |
1141634.4 |
Total Medicare Allowed Amount |
296171.36 |
Total Medicare Payment Amount |
222554.38 |
Total Medicare Standardized Payment Amount |
209892.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3944.8 |
Number Of Medicare Beneficiaries With Drug Services |
317 |
Total Drug Submitted ChargeAmount |
11222.4 |
Total Drug Medicare AllowedAmount |
5854.92 |
Total Drug Medicare PaymentAmount |
4538.11 |
Total Drug Medicare Standardized Payment Amount |
4538.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2703 |
Number Of Medicare Beneficiaries With Medical Services |
946 |
Total Medical Submitted Charge Amount |
1130412 |
Total Medical Medicare Allowed Amount |
290316.44 |
Total Medical Medicare Payment Amount |
218016.27 |
Total Medical Medicare Standardized Payment Amount |
205354.42 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
450 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
735 |
Number Of Black or African American Beneficiaries |
189 |
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 |
840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0542 |