National Provider Identifier [NPI]: |
1033143425 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1906 BELLEVIEW AVE SE |
Street Address 2 Of The Provider |
EMERGENCY DEPT |
City Of The Provider |
ROANOKE |
Zip Code Of The Provider |
240141838 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
1080 |
Number Of Medicare Beneficiaries |
882 |
Total Submitted Charge Amount |
564557 |
Total Medicare Allowed Amount |
144672.31 |
Total Medicare Payment Amount |
112103.12 |
Total Medicare Standardized Payment Amount |
114451.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1080 |
Number Of Medicare Beneficiaries With Medical Services |
882 |
Total Medical Submitted Charge Amount |
564557 |
Total Medical Medicare Allowed Amount |
144672.31 |
Total Medical Medicare Payment Amount |
112103.12 |
Total Medical Medicare Standardized Payment Amount |
114451.27 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
801 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6996 |