National Provider Identifier [NPI]: |
1932195773 |
Last Name Of The Provider |
LANGDON |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11803 JEFFERSON AVE |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
236062565 |
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 |
58 |
Number Of Services |
5371 |
Number Of Medicare Beneficiaries |
2860 |
Total Submitted Charge Amount |
428012 |
Total Medicare Allowed Amount |
202494.15 |
Total Medicare Payment Amount |
149820.76 |
Total Medicare Standardized Payment Amount |
152260.74 |
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 |
58 |
Number Of Medical Services |
5371 |
Number Of Medicare Beneficiaries With Medical Services |
2860 |
Total Medical Submitted Charge Amount |
428012 |
Total Medical Medicare Allowed Amount |
202494.15 |
Total Medical Medicare Payment Amount |
149820.76 |
Total Medical Medicare Standardized Payment Amount |
152260.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
307 |
Number Of Beneficiaries Age 65 to 74 |
961 |
Number Of Beneficiaries Age 75 to 84 |
1019 |
Number Of Beneficiaries Age Greater 84 |
573 |
Number Of Female Beneficiaries |
1453 |
Number Of Male Beneficiaries |
1407 |
Number Of Non Hispanic White Beneficiaries |
2261 |
Number Of Black or African American Beneficiaries |
524 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
456 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
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 |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7409 |