National Provider Identifier [NPI]: |
1619956158 |
Last Name Of The Provider |
HARDY |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
190 CAMPUS BLVD STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
226012872 |
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 |
101 |
Number Of Services |
5943 |
Number Of Medicare Beneficiaries |
2487 |
Total Submitted Charge Amount |
1003649.96 |
Total Medicare Allowed Amount |
471181.33 |
Total Medicare Payment Amount |
348996.83 |
Total Medicare Standardized Payment Amount |
362948.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
292 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
30362.5 |
Total Drug Medicare AllowedAmount |
15421.86 |
Total Drug Medicare PaymentAmount |
12058.16 |
Total Drug Medicare Standardized Payment Amount |
12058.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
5651 |
Number Of Medicare Beneficiaries With Medical Services |
2487 |
Total Medical Submitted Charge Amount |
973287.46 |
Total Medical Medicare Allowed Amount |
455759.47 |
Total Medical Medicare Payment Amount |
336938.67 |
Total Medical Medicare Standardized Payment Amount |
350889.87 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
257 |
Number Of Beneficiaries Age 65 to 74 |
988 |
Number Of Beneficiaries Age 75 to 84 |
832 |
Number Of Beneficiaries Age Greater 84 |
410 |
Number Of Female Beneficiaries |
1188 |
Number Of Male Beneficiaries |
1299 |
Number Of Non Hispanic White Beneficiaries |
2361 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2030 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
457 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5464 |