National Provider Identifier [NPI]: |
1467655076 |
Last Name Of The Provider |
ZAW |
First Name Of The Provider |
KYAW |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D, M.S |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
511 BELFIELD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
EMPORIA |
Zip Code Of The Provider |
238471217 |
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 |
47 |
Number Of Services |
2672 |
Number Of Medicare Beneficiaries |
560 |
Total Submitted Charge Amount |
426382 |
Total Medicare Allowed Amount |
160397.81 |
Total Medicare Payment Amount |
117530.98 |
Total Medicare Standardized Payment Amount |
119804.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
432 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
20348 |
Total Drug Medicare AllowedAmount |
6427.32 |
Total Drug Medicare PaymentAmount |
4962.35 |
Total Drug Medicare Standardized Payment Amount |
4962.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2240 |
Number Of Medicare Beneficiaries With Medical Services |
560 |
Total Medical Submitted Charge Amount |
406034 |
Total Medical Medicare Allowed Amount |
153970.49 |
Total Medical Medicare Payment Amount |
112568.63 |
Total Medical Medicare Standardized Payment Amount |
114842.3 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
315 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
332 |
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 |
318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
242 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8243 |