National Provider Identifier [NPI]: |
1508073644 |
Last Name Of The Provider |
CARLETON |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7702 E PARHAM RD |
Street Address 2 Of The Provider |
SUITE 304 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232944371 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
53179 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
2627702 |
Total Medicare Allowed Amount |
1550075.32 |
Total Medicare Payment Amount |
1135971.01 |
Total Medicare Standardized Payment Amount |
1136093.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
48931 |
Number Of Medicare Beneficiaries With Drug Services |
291 |
Total Drug Submitted ChargeAmount |
1927320 |
Total Drug Medicare AllowedAmount |
1197770.18 |
Total Drug Medicare PaymentAmount |
880779.17 |
Total Drug Medicare Standardized Payment Amount |
880779.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
4248 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
700382 |
Total Medical Medicare Allowed Amount |
352305.14 |
Total Medical Medicare Payment Amount |
255191.84 |
Total Medical Medicare Standardized Payment Amount |
255314.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
580 |
Number Of Black or African American Beneficiaries |
141 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1444 |