National Provider Identifier [NPI]: |
1831152909 |
Last Name Of The Provider |
BOKINSKY |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D., F.A.C.S. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9105 STONY POINT PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232351979 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
10245 |
Number Of Medicare Beneficiaries |
1119 |
Total Submitted Charge Amount |
1127019.5 |
Total Medicare Allowed Amount |
509232.8 |
Total Medicare Payment Amount |
385334.54 |
Total Medicare Standardized Payment Amount |
392374.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
4498 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
411371.5 |
Total Drug Medicare AllowedAmount |
220090.2 |
Total Drug Medicare PaymentAmount |
171498.82 |
Total Drug Medicare Standardized Payment Amount |
171498.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
5747 |
Number Of Medicare Beneficiaries With Medical Services |
1119 |
Total Medical Submitted Charge Amount |
715648 |
Total Medical Medicare Allowed Amount |
289142.6 |
Total Medical Medicare Payment Amount |
213835.72 |
Total Medical Medicare Standardized Payment Amount |
220875.71 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
405 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
956 |
Number Of Non Hispanic White Beneficiaries |
924 |
Number Of Black or African American Beneficiaries |
157 |
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1060 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1265 |