National Provider Identifier [NPI]: |
1164529889 |
Last Name Of The Provider |
ASBURY |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1240 HOCKMAN PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLUEFIELD |
Zip Code Of The Provider |
24605 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
15778 |
Number Of Medicare Beneficiaries |
290 |
Total Submitted Charge Amount |
436592.06 |
Total Medicare Allowed Amount |
385687.57 |
Total Medicare Payment Amount |
296039.39 |
Total Medicare Standardized Payment Amount |
285146.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
10049 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
270631.25 |
Total Drug Medicare AllowedAmount |
253179.74 |
Total Drug Medicare PaymentAmount |
198676.05 |
Total Drug Medicare Standardized Payment Amount |
198676.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
5729 |
Number Of Medicare Beneficiaries With Medical Services |
290 |
Total Medical Submitted Charge Amount |
165960.81 |
Total Medical Medicare Allowed Amount |
132507.83 |
Total Medical Medicare Payment Amount |
97363.34 |
Total Medical Medicare Standardized Payment Amount |
86470.08 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
86 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
202 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
50 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0344 |