National Provider Identifier [NPI]: |
1932375144 |
Last Name Of The Provider |
ROOT |
First Name Of The Provider |
CASSIE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1715 N GEORGE MASON DR |
Street Address 2 Of The Provider |
SUITE 504 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222053609 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
2687 |
Number Of Medicare Beneficiaries |
371 |
Total Submitted Charge Amount |
561965.8 |
Total Medicare Allowed Amount |
188229.61 |
Total Medicare Payment Amount |
143724.45 |
Total Medicare Standardized Payment Amount |
132591.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1399 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
52902.8 |
Total Drug Medicare AllowedAmount |
48699.38 |
Total Drug Medicare PaymentAmount |
38177.42 |
Total Drug Medicare Standardized Payment Amount |
38177.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
1288 |
Number Of Medicare Beneficiaries With Medical Services |
371 |
Total Medical Submitted Charge Amount |
509063 |
Total Medical Medicare Allowed Amount |
139530.23 |
Total Medical Medicare Payment Amount |
105547.03 |
Total Medical Medicare Standardized Payment Amount |
94413.85 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
228 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
315 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8599 |