National Provider Identifier [NPI]: |
1598729816 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9105 STONY POINT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232351979 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
14317.5 |
Number Of Medicare Beneficiaries |
1154 |
Total Submitted Charge Amount |
1097268.75 |
Total Medicare Allowed Amount |
410476.32 |
Total Medicare Payment Amount |
307932.98 |
Total Medicare Standardized Payment Amount |
314369.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
8558.5 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
335302.75 |
Total Drug Medicare AllowedAmount |
99808.09 |
Total Drug Medicare PaymentAmount |
75933.29 |
Total Drug Medicare Standardized Payment Amount |
75933.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
5759 |
Number Of Medicare Beneficiaries With Medical Services |
1153 |
Total Medical Submitted Charge Amount |
761966 |
Total Medical Medicare Allowed Amount |
310668.23 |
Total Medical Medicare Payment Amount |
231999.69 |
Total Medical Medicare Standardized Payment Amount |
238436.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
538 |
Number Of Beneficiaries Age 75 to 84 |
426 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
159 |
Number Of Male Beneficiaries |
995 |
Number Of Non Hispanic White Beneficiaries |
970 |
Number Of Black or African American Beneficiaries |
142 |
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 |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.135 |