National Provider Identifier [NPI]: |
1023067733 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1708 OLD DONATION PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234543064 |
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 |
89 |
Number Of Services |
5332 |
Number Of Medicare Beneficiaries |
2494 |
Total Submitted Charge Amount |
1143078.65 |
Total Medicare Allowed Amount |
471006.48 |
Total Medicare Payment Amount |
359527.01 |
Total Medicare Standardized Payment Amount |
370885.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
496 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
29600.5 |
Total Drug Medicare AllowedAmount |
25663.47 |
Total Drug Medicare PaymentAmount |
19643.74 |
Total Drug Medicare Standardized Payment Amount |
19643.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
4836 |
Number Of Medicare Beneficiaries With Medical Services |
2494 |
Total Medical Submitted Charge Amount |
1113478.15 |
Total Medical Medicare Allowed Amount |
445343.01 |
Total Medical Medicare Payment Amount |
339883.27 |
Total Medical Medicare Standardized Payment Amount |
351242.16 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
905 |
Number Of Beneficiaries Age 75 to 84 |
883 |
Number Of Beneficiaries Age Greater 84 |
492 |
Number Of Female Beneficiaries |
1253 |
Number Of Male Beneficiaries |
1241 |
Number Of Non Hispanic White Beneficiaries |
2097 |
Number Of Black or African American Beneficiaries |
294 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
263 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7446 |