National Provider Identifier [NPI]: |
1427248798 |
Last Name Of The Provider |
VANDERHORST-ALBAUGH |
First Name Of The Provider |
MORGAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 N COMMERCE AVE |
Street Address 2 Of The Provider |
VALLEY HEALTH URGENT CARE |
City Of The Provider |
FRONT ROYAL |
Zip Code Of The Provider |
226302660 |
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 |
65 |
Number Of Services |
643 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
77807.94 |
Total Medicare Allowed Amount |
38696.89 |
Total Medicare Payment Amount |
25571.83 |
Total Medicare Standardized Payment Amount |
28090.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
41 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
809.25 |
Total Drug Medicare AllowedAmount |
149.59 |
Total Drug Medicare PaymentAmount |
126.58 |
Total Drug Medicare Standardized Payment Amount |
126.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
602 |
Number Of Medicare Beneficiaries With Medical Services |
270 |
Total Medical Submitted Charge Amount |
76998.69 |
Total Medical Medicare Allowed Amount |
38547.3 |
Total Medical Medicare Payment Amount |
25445.25 |
Total Medical Medicare Standardized Payment Amount |
27963.87 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
259 |
Number Of Black or African American Beneficiaries |
|
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 |
240 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9303 |