National Provider Identifier [NPI]: |
1053343905 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2296 OPITZ BLVD |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
WOODBRIDGE |
Zip Code Of The Provider |
221913300 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
4001 |
Number Of Medicare Beneficiaries |
766 |
Total Submitted Charge Amount |
443992.29 |
Total Medicare Allowed Amount |
379931.76 |
Total Medicare Payment Amount |
283996.59 |
Total Medicare Standardized Payment Amount |
303098.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
1455 |
Total Drug Medicare AllowedAmount |
595.68 |
Total Drug Medicare PaymentAmount |
583.79 |
Total Drug Medicare Standardized Payment Amount |
583.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3962 |
Number Of Medicare Beneficiaries With Medical Services |
766 |
Total Medical Submitted Charge Amount |
442537.29 |
Total Medical Medicare Allowed Amount |
379336.08 |
Total Medical Medicare Payment Amount |
283412.8 |
Total Medical Medicare Standardized Payment Amount |
302515.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
435 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
595 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
685 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
61 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8292 |