National Provider Identifier [NPI]: |
1952340895 |
Last Name Of The Provider |
SHEAP |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1741B ERICKSON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HARRISONBURG |
Zip Code Of The Provider |
228018555 |
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 |
14 |
Number Of Services |
5133 |
Number Of Medicare Beneficiaries |
1476 |
Total Submitted Charge Amount |
206027.99 |
Total Medicare Allowed Amount |
199372.34 |
Total Medicare Payment Amount |
131518.92 |
Total Medicare Standardized Payment Amount |
134085.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
5133 |
Number Of Medicare Beneficiaries With Medical Services |
1476 |
Total Medical Submitted Charge Amount |
206027.99 |
Total Medical Medicare Allowed Amount |
199372.34 |
Total Medical Medicare Payment Amount |
131518.92 |
Total Medical Medicare Standardized Payment Amount |
134085.66 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
559 |
Number Of Beneficiaries Age 75 to 84 |
587 |
Number Of Beneficiaries Age Greater 84 |
303 |
Number Of Female Beneficiaries |
713 |
Number Of Male Beneficiaries |
763 |
Number Of Non Hispanic White Beneficiaries |
1434 |
Number Of Black or African American Beneficiaries |
|
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8894 |