National Provider Identifier [NPI]: |
1851376818 |
Last Name Of The Provider |
FRIEND |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
650 PETER JEFFERSON PKWY |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229118844 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3227 |
Number Of Medicare Beneficiaries |
1538 |
Total Submitted Charge Amount |
869547.37 |
Total Medicare Allowed Amount |
295112.63 |
Total Medicare Payment Amount |
211023.31 |
Total Medicare Standardized Payment Amount |
216304.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
9589 |
Total Drug Medicare AllowedAmount |
2385.89 |
Total Drug Medicare PaymentAmount |
1870.43 |
Total Drug Medicare Standardized Payment Amount |
1870.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3179 |
Number Of Medicare Beneficiaries With Medical Services |
1538 |
Total Medical Submitted Charge Amount |
859958.37 |
Total Medical Medicare Allowed Amount |
292726.74 |
Total Medical Medicare Payment Amount |
209152.88 |
Total Medical Medicare Standardized Payment Amount |
214433.96 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
492 |
Number Of Beneficiaries Age 75 to 84 |
584 |
Number Of Beneficiaries Age Greater 84 |
415 |
Number Of Female Beneficiaries |
686 |
Number Of Male Beneficiaries |
852 |
Number Of Non Hispanic White Beneficiaries |
1414 |
Number Of Black or African American Beneficiaries |
97 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1433 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3892 |