National Provider Identifier [NPI]: |
1285609768 |
Last Name Of The Provider |
GIANVITTORIO |
First Name Of The Provider |
JOY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
351 EDWIN DR |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234624559 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
5022 |
Number Of Medicare Beneficiaries |
403 |
Total Submitted Charge Amount |
400976 |
Total Medicare Allowed Amount |
183823.28 |
Total Medicare Payment Amount |
146712.74 |
Total Medicare Standardized Payment Amount |
151443.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
234 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
14472 |
Total Drug Medicare AllowedAmount |
7980.85 |
Total Drug Medicare PaymentAmount |
7775.97 |
Total Drug Medicare Standardized Payment Amount |
7775.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
4788 |
Number Of Medicare Beneficiaries With Medical Services |
402 |
Total Medical Submitted Charge Amount |
386504 |
Total Medical Medicare Allowed Amount |
175842.43 |
Total Medical Medicare Payment Amount |
138936.77 |
Total Medical Medicare Standardized Payment Amount |
143667.21 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
255 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
368 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8623 |