National Provider Identifier [NPI]: |
1649274036 |
Last Name Of The Provider |
FREEDMAN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
650 PETER JEFFERSON PARKWAY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
22911 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2960 |
Number Of Medicare Beneficiaries |
1070 |
Total Submitted Charge Amount |
745759.36 |
Total Medicare Allowed Amount |
258248.29 |
Total Medicare Payment Amount |
186450.64 |
Total Medicare Standardized Payment Amount |
191124.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
8697 |
Total Drug Medicare AllowedAmount |
2119.84 |
Total Drug Medicare PaymentAmount |
1629.87 |
Total Drug Medicare Standardized Payment Amount |
1629.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2917 |
Number Of Medicare Beneficiaries With Medical Services |
1070 |
Total Medical Submitted Charge Amount |
737062.36 |
Total Medical Medicare Allowed Amount |
256128.45 |
Total Medical Medicare Payment Amount |
184820.77 |
Total Medical Medicare Standardized Payment Amount |
189494.41 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
429 |
Number Of Beneficiaries Age Greater 84 |
239 |
Number Of Female Beneficiaries |
499 |
Number Of Male Beneficiaries |
571 |
Number Of Non Hispanic White Beneficiaries |
946 |
Number Of Black or African American Beneficiaries |
96 |
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 |
995 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3334 |