National Provider Identifier [NPI]: |
1447329073 |
Last Name Of The Provider |
GASKIN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
LEE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229080001 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
3165 |
Number Of Medicare Beneficiaries |
1171 |
Total Submitted Charge Amount |
1126593.56 |
Total Medicare Allowed Amount |
99354.41 |
Total Medicare Payment Amount |
75445.84 |
Total Medicare Standardized Payment Amount |
78822 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
649 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
5404.56 |
Total Drug Medicare AllowedAmount |
1071.74 |
Total Drug Medicare PaymentAmount |
840.32 |
Total Drug Medicare Standardized Payment Amount |
840.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
2516 |
Number Of Medicare Beneficiaries With Medical Services |
1171 |
Total Medical Submitted Charge Amount |
1121189 |
Total Medical Medicare Allowed Amount |
98282.67 |
Total Medical Medicare Payment Amount |
74605.52 |
Total Medical Medicare Standardized Payment Amount |
77981.68 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
319 |
Number Of Beneficiaries Age 65 to 74 |
442 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
450 |
Number Of Non Hispanic White Beneficiaries |
966 |
Number Of Black or African American Beneficiaries |
176 |
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 |
860 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
311 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5012 |