National Provider Identifier [NPI]: |
1588711386 |
Last Name Of The Provider |
ADLER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
612 KINGSBOROUGH SQ |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CHESAPEAKE |
Zip Code Of The Provider |
233205041 |
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 |
107 |
Number Of Services |
3621 |
Number Of Medicare Beneficiaries |
1979 |
Total Submitted Charge Amount |
641180.93 |
Total Medicare Allowed Amount |
254190.11 |
Total Medicare Payment Amount |
191529.16 |
Total Medicare Standardized Payment Amount |
196302.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
7135.28 |
Total Drug Medicare AllowedAmount |
6165.89 |
Total Drug Medicare PaymentAmount |
4834.04 |
Total Drug Medicare Standardized Payment Amount |
4834.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
3497 |
Number Of Medicare Beneficiaries With Medical Services |
1979 |
Total Medical Submitted Charge Amount |
634045.65 |
Total Medical Medicare Allowed Amount |
248024.22 |
Total Medical Medicare Payment Amount |
186695.12 |
Total Medical Medicare Standardized Payment Amount |
191468.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
277 |
Number Of Beneficiaries Age 65 to 74 |
706 |
Number Of Beneficiaries Age 75 to 84 |
658 |
Number Of Beneficiaries Age Greater 84 |
338 |
Number Of Female Beneficiaries |
1028 |
Number Of Male Beneficiaries |
951 |
Number Of Non Hispanic White Beneficiaries |
1424 |
Number Of Black or African American Beneficiaries |
467 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1648 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
331 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9722 |