National Provider Identifier [NPI]: |
1871538413 |
Last Name Of The Provider |
KAMILAKIS |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10800 MIDLOTHIAN TPKE |
Street Address 2 Of The Provider |
SUITE 265 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232354724 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
955 |
Number Of Medicare Beneficiaries |
587 |
Total Submitted Charge Amount |
526037.64 |
Total Medicare Allowed Amount |
71337.55 |
Total Medicare Payment Amount |
55329.25 |
Total Medicare Standardized Payment Amount |
56715.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
955 |
Number Of Medicare Beneficiaries With Medical Services |
587 |
Total Medical Submitted Charge Amount |
526037.64 |
Total Medical Medicare Allowed Amount |
71337.55 |
Total Medical Medicare Payment Amount |
55329.25 |
Total Medical Medicare Standardized Payment Amount |
56715.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
501 |
Number Of Black or African American Beneficiaries |
75 |
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 |
554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.7815 |