National Provider Identifier [NPI]: |
1710907878 |
Last Name Of The Provider |
ERWIN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7611 FOREST AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232294946 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
5901 |
Number Of Medicare Beneficiaries |
1405 |
Total Submitted Charge Amount |
2432982 |
Total Medicare Allowed Amount |
704730.81 |
Total Medicare Payment Amount |
535414.39 |
Total Medicare Standardized Payment Amount |
547537.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1280 |
Number Of Medicare Beneficiaries With Drug Services |
320 |
Total Drug Submitted ChargeAmount |
139555 |
Total Drug Medicare AllowedAmount |
66875.1 |
Total Drug Medicare PaymentAmount |
51940.14 |
Total Drug Medicare Standardized Payment Amount |
51940.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
4621 |
Number Of Medicare Beneficiaries With Medical Services |
1404 |
Total Medical Submitted Charge Amount |
2293427 |
Total Medical Medicare Allowed Amount |
637855.71 |
Total Medical Medicare Payment Amount |
483474.25 |
Total Medical Medicare Standardized Payment Amount |
495597.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
587 |
Number Of Beneficiaries Age 75 to 84 |
520 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
715 |
Number Of Male Beneficiaries |
690 |
Number Of Non Hispanic White Beneficiaries |
1172 |
Number Of Black or African American Beneficiaries |
184 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1304 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4363 |