National Provider Identifier [NPI]: |
1881680619 |
Last Name Of The Provider |
VOSSENBERG |
First Name Of The Provider |
FRANS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 SAM PERRY BLVD |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
FREDERICKSBRG |
Zip Code Of The Provider |
224014490 |
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 |
64 |
Number Of Services |
3926 |
Number Of Medicare Beneficiaries |
1580 |
Total Submitted Charge Amount |
604963 |
Total Medicare Allowed Amount |
303393.55 |
Total Medicare Payment Amount |
229510.01 |
Total Medicare Standardized Payment Amount |
235894.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
316 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
16380 |
Total Drug Medicare AllowedAmount |
15729.29 |
Total Drug Medicare PaymentAmount |
12128.09 |
Total Drug Medicare Standardized Payment Amount |
12128.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3610 |
Number Of Medicare Beneficiaries With Medical Services |
1580 |
Total Medical Submitted Charge Amount |
588583 |
Total Medical Medicare Allowed Amount |
287664.26 |
Total Medical Medicare Payment Amount |
217381.92 |
Total Medical Medicare Standardized Payment Amount |
223766.76 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
592 |
Number Of Beneficiaries Age 75 to 84 |
539 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
836 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
1303 |
Number Of Black or African American Beneficiaries |
227 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1310 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7918 |