National Provider Identifier [NPI]: |
1316912991 |
Last Name Of The Provider |
COVINGTON |
First Name Of The Provider |
DAMIAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
304 E LEIGH STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232191400 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
7319 |
Number Of Medicare Beneficiaries |
406 |
Total Submitted Charge Amount |
439170 |
Total Medicare Allowed Amount |
160466.79 |
Total Medicare Payment Amount |
119653.09 |
Total Medicare Standardized Payment Amount |
121593.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1059 |
Total Drug Medicare AllowedAmount |
541.67 |
Total Drug Medicare PaymentAmount |
530.24 |
Total Drug Medicare Standardized Payment Amount |
530.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
7280 |
Number Of Medicare Beneficiaries With Medical Services |
406 |
Total Medical Submitted Charge Amount |
438111 |
Total Medical Medicare Allowed Amount |
159925.12 |
Total Medical Medicare Payment Amount |
119122.85 |
Total Medical Medicare Standardized Payment Amount |
121063.04 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
273 |
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 |
194 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
28 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2598 |