National Provider Identifier [NPI]: |
1720192438 |
Last Name Of The Provider |
BELK |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 EXECUTIVE DR |
Street Address 2 Of The Provider |
SUITE L |
City Of The Provider |
DANVILLE |
Zip Code Of The Provider |
245414155 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
204 |
Number Of Services |
10199 |
Number Of Medicare Beneficiaries |
4756 |
Total Submitted Charge Amount |
1044194 |
Total Medicare Allowed Amount |
306142.06 |
Total Medicare Payment Amount |
230607.91 |
Total Medicare Standardized Payment Amount |
239776.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
204 |
Number Of Medical Services |
10199 |
Number Of Medicare Beneficiaries With Medical Services |
4756 |
Total Medical Submitted Charge Amount |
1044194 |
Total Medical Medicare Allowed Amount |
306142.06 |
Total Medical Medicare Payment Amount |
230607.91 |
Total Medical Medicare Standardized Payment Amount |
239776.85 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
1177 |
Number Of Beneficiaries Age 65 to 74 |
1429 |
Number Of Beneficiaries Age 75 to 84 |
1268 |
Number Of Beneficiaries Age Greater 84 |
882 |
Number Of Female Beneficiaries |
2834 |
Number Of Male Beneficiaries |
1922 |
Number Of Non Hispanic White Beneficiaries |
2665 |
Number Of Black or African American Beneficiaries |
1994 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
32 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2204 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9497 |