National Provider Identifier [NPI]: |
1669426961 |
Last Name Of The Provider |
FOSTER-WEISS |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M,D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 WATERCOVE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDLOTHIAN |
Zip Code Of The Provider |
231123982 |
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 |
83 |
Number Of Services |
1404 |
Number Of Medicare Beneficiaries |
454 |
Total Submitted Charge Amount |
118265.08 |
Total Medicare Allowed Amount |
81472 |
Total Medicare Payment Amount |
62150.97 |
Total Medicare Standardized Payment Amount |
61839.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
3976.08 |
Total Drug Medicare AllowedAmount |
2267.22 |
Total Drug Medicare PaymentAmount |
2058.02 |
Total Drug Medicare Standardized Payment Amount |
2058.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
1237 |
Number Of Medicare Beneficiaries With Medical Services |
454 |
Total Medical Submitted Charge Amount |
114289 |
Total Medical Medicare Allowed Amount |
79204.78 |
Total Medical Medicare Payment Amount |
60092.95 |
Total Medical Medicare Standardized Payment Amount |
59781.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
187 |
Number Of Non Hispanic White Beneficiaries |
380 |
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 |
394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.133 |