National Provider Identifier [NPI]: |
1831152107 |
Last Name Of The Provider |
VERDIRAME |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 MEADE PARKWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUFFOLK |
Zip Code Of The Provider |
234344259 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
3227 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
412338.5 |
Total Medicare Allowed Amount |
268207.08 |
Total Medicare Payment Amount |
199682.49 |
Total Medicare Standardized Payment Amount |
206336.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
8582.5 |
Total Drug Medicare AllowedAmount |
5746.14 |
Total Drug Medicare PaymentAmount |
5588.78 |
Total Drug Medicare Standardized Payment Amount |
5588.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
2913 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
403756 |
Total Medical Medicare Allowed Amount |
262460.94 |
Total Medical Medicare Payment Amount |
194093.71 |
Total Medical Medicare Standardized Payment Amount |
200748.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
414 |
Number Of Male Beneficiaries |
315 |
Number Of Non Hispanic White Beneficiaries |
506 |
Number Of Black or African American Beneficiaries |
208 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0876 |