Medicare Facts for Dr. Mark R. Winters, MD


National Provider Identifier [NPI]: 1144201062
Last Name Of The Provider WINTERS
First Name Of The Provider MARK
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 351 EDWIN DR
Street Address 2 Of The Provider SUITE 102
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 87
Number Of Services 4386
Number Of Medicare Beneficiaries 296
Total Submitted Charge Amount 330068.5
Total Medicare Allowed Amount 145569.77
Total Medicare Payment Amount 113673.76
Total Medicare Standardized Payment Amount 116713.5
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 151
Number Of Medicare Beneficiaries With Drug Services 122
Total Drug Submitted ChargeAmount 11101
Total Drug Medicare AllowedAmount 6561.38
Total Drug Medicare PaymentAmount 6423.79
Total Drug Medicare Standardized Payment Amount 6423.79
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 82
Number Of Medical Services 4235
Number Of Medicare Beneficiaries With Medical Services 296
Total Medical Submitted Charge Amount 318967.5
Total Medical Medicare Allowed Amount 139008.39
Total Medical Medicare Payment Amount 107249.97
Total Medical Medicare Standardized Payment Amount 110289.71
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 19
Number Of Beneficiaries Age 65 to 74 165
Number Of Beneficiaries Age 75 to 84 82
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 155
Number Of Male Beneficiaries 141
Number Of Non Hispanic White Beneficiaries 251
Number Of Black or African American Beneficiaries 28
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 285
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 17
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.888

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