National Provider Identifier [NPI]: |
1225090509 |
Last Name Of The Provider |
CLAMPITT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 TERRACE DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MARION |
Zip Code Of The Provider |
243544392 |
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 |
79 |
Number Of Services |
9551 |
Number Of Medicare Beneficiaries |
895 |
Total Submitted Charge Amount |
583708.4 |
Total Medicare Allowed Amount |
370426.28 |
Total Medicare Payment Amount |
262975.84 |
Total Medicare Standardized Payment Amount |
270688.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
909 |
Number Of Medicare Beneficiaries With Drug Services |
367 |
Total Drug Submitted ChargeAmount |
21683.4 |
Total Drug Medicare AllowedAmount |
11567.73 |
Total Drug Medicare PaymentAmount |
10888.18 |
Total Drug Medicare Standardized Payment Amount |
10888.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
8642 |
Number Of Medicare Beneficiaries With Medical Services |
894 |
Total Medical Submitted Charge Amount |
562025 |
Total Medical Medicare Allowed Amount |
358858.55 |
Total Medical Medicare Payment Amount |
252087.66 |
Total Medical Medicare Standardized Payment Amount |
259800.74 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
334 |
Number Of Non Hispanic White Beneficiaries |
873 |
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 |
579 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1989 |