National Provider Identifier [NPI]: |
1205821428 |
Last Name Of The Provider |
HEIMAN |
First Name Of The Provider |
MELVIN |
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 |
16000 JOHNSTON MEMORIAL DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ABINGDON |
Zip Code Of The Provider |
242117659 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
6165 |
Number Of Medicare Beneficiaries |
591 |
Total Submitted Charge Amount |
398679 |
Total Medicare Allowed Amount |
185550.39 |
Total Medicare Payment Amount |
136295.86 |
Total Medicare Standardized Payment Amount |
134791.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4366 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
86217 |
Total Drug Medicare AllowedAmount |
57723.35 |
Total Drug Medicare PaymentAmount |
45155.05 |
Total Drug Medicare Standardized Payment Amount |
45155.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
1799 |
Number Of Medicare Beneficiaries With Medical Services |
591 |
Total Medical Submitted Charge Amount |
312462 |
Total Medical Medicare Allowed Amount |
127827.04 |
Total Medical Medicare Payment Amount |
91140.81 |
Total Medical Medicare Standardized Payment Amount |
89636.48 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
574 |
Number Of Black or African American Beneficiaries |
|
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 |
393 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0958 |