National Provider Identifier [NPI]: |
1114982949 |
Last Name Of The Provider |
SHEROWSKY |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2204 WILBORN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH BOSTON |
Zip Code Of The Provider |
245921645 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
5941 |
Number Of Medicare Beneficiaries |
2436 |
Total Submitted Charge Amount |
521869 |
Total Medicare Allowed Amount |
165094.23 |
Total Medicare Payment Amount |
126732.24 |
Total Medicare Standardized Payment Amount |
131125.49 |
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 |
162 |
Number Of Medical Services |
5941 |
Number Of Medicare Beneficiaries With Medical Services |
2436 |
Total Medical Submitted Charge Amount |
521869 |
Total Medical Medicare Allowed Amount |
165094.23 |
Total Medical Medicare Payment Amount |
126732.24 |
Total Medical Medicare Standardized Payment Amount |
131125.49 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
554 |
Number Of Beneficiaries Age 65 to 74 |
922 |
Number Of Beneficiaries Age 75 to 84 |
651 |
Number Of Beneficiaries Age Greater 84 |
309 |
Number Of Female Beneficiaries |
1600 |
Number Of Male Beneficiaries |
836 |
Number Of Non Hispanic White Beneficiaries |
2342 |
Number Of Black or African American Beneficiaries |
67 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1715 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
721 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2967 |