National Provider Identifier [NPI]: |
1750430070 |
Last Name Of The Provider |
HAGSPIEL |
First Name Of The Provider |
KLAUS |
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 |
UVA HOSPITAL |
Street Address 2 Of The Provider |
LEE STREET, 1ST FLOOR |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229080001 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
7445 |
Number Of Medicare Beneficiaries |
1190 |
Total Submitted Charge Amount |
784874.88 |
Total Medicare Allowed Amount |
164707.23 |
Total Medicare Payment Amount |
122715.04 |
Total Medicare Standardized Payment Amount |
126596.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5671 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
7191.88 |
Total Drug Medicare AllowedAmount |
1083.74 |
Total Drug Medicare PaymentAmount |
849.61 |
Total Drug Medicare Standardized Payment Amount |
849.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1774 |
Number Of Medicare Beneficiaries With Medical Services |
1190 |
Total Medical Submitted Charge Amount |
777683 |
Total Medical Medicare Allowed Amount |
163623.49 |
Total Medical Medicare Payment Amount |
121865.43 |
Total Medical Medicare Standardized Payment Amount |
125746.8 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
241 |
Number Of Beneficiaries Age 65 to 74 |
458 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
504 |
Number Of Male Beneficiaries |
686 |
Number Of Non Hispanic White Beneficiaries |
1015 |
Number Of Black or African American Beneficiaries |
138 |
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
922 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8979 |