National Provider Identifier [NPI]: |
1881657666 |
Last Name Of The Provider |
JANUS |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
418 CHATHAM SQUARE OFFICE PARK |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDERICKSBURG |
Zip Code Of The Provider |
224052561 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
3140 |
Number Of Medicare Beneficiaries |
450 |
Total Submitted Charge Amount |
271827 |
Total Medicare Allowed Amount |
169921.6 |
Total Medicare Payment Amount |
117523.39 |
Total Medicare Standardized Payment Amount |
122385.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
349 |
Number Of Medicare Beneficiaries With Drug Services |
250 |
Total Drug Submitted ChargeAmount |
22766 |
Total Drug Medicare AllowedAmount |
17330.81 |
Total Drug Medicare PaymentAmount |
16795.85 |
Total Drug Medicare Standardized Payment Amount |
16795.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2791 |
Number Of Medicare Beneficiaries With Medical Services |
450 |
Total Medical Submitted Charge Amount |
249061 |
Total Medical Medicare Allowed Amount |
152590.79 |
Total Medical Medicare Payment Amount |
100727.54 |
Total Medical Medicare Standardized Payment Amount |
105589.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
214 |
Number Of Non Hispanic White Beneficiaries |
400 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
424 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9025 |