National Provider Identifier [NPI]: |
1710977111 |
Last Name Of The Provider |
PEAKE |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 SELMA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
22601 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
6219 |
Number Of Medicare Beneficiaries |
1166 |
Total Submitted Charge Amount |
376005.15 |
Total Medicare Allowed Amount |
253095.02 |
Total Medicare Payment Amount |
189081.85 |
Total Medicare Standardized Payment Amount |
193122.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
175 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
11274 |
Total Drug Medicare AllowedAmount |
8780.82 |
Total Drug Medicare PaymentAmount |
8551.98 |
Total Drug Medicare Standardized Payment Amount |
8551.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
6044 |
Number Of Medicare Beneficiaries With Medical Services |
1166 |
Total Medical Submitted Charge Amount |
364731.15 |
Total Medical Medicare Allowed Amount |
244314.2 |
Total Medical Medicare Payment Amount |
180529.87 |
Total Medical Medicare Standardized Payment Amount |
184570.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
415 |
Number Of Beneficiaries Age 75 to 84 |
402 |
Number Of Beneficiaries Age Greater 84 |
224 |
Number Of Female Beneficiaries |
741 |
Number Of Male Beneficiaries |
425 |
Number Of Non Hispanic White Beneficiaries |
1105 |
Number Of Black or African American Beneficiaries |
39 |
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 |
940 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5162 |