National Provider Identifier [NPI]: |
1215933494 |
Last Name Of The Provider |
POWERS |
First Name Of The Provider |
DAVID |
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 |
514 W ATLANTIC ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH HILL |
Zip Code Of The Provider |
239701906 |
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 |
126 |
Number Of Services |
11928 |
Number Of Medicare Beneficiaries |
1096 |
Total Submitted Charge Amount |
396215 |
Total Medicare Allowed Amount |
179958.15 |
Total Medicare Payment Amount |
165766.34 |
Total Medicare Standardized Payment Amount |
167387.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
127 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1586 |
Total Drug Medicare AllowedAmount |
549.16 |
Total Drug Medicare PaymentAmount |
456.7 |
Total Drug Medicare Standardized Payment Amount |
456.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
11801 |
Number Of Medicare Beneficiaries With Medical Services |
1096 |
Total Medical Submitted Charge Amount |
394629 |
Total Medical Medicare Allowed Amount |
179408.99 |
Total Medical Medicare Payment Amount |
165309.64 |
Total Medical Medicare Standardized Payment Amount |
166931.05 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
238 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
663 |
Number Of Male Beneficiaries |
433 |
Number Of Non Hispanic White Beneficiaries |
638 |
Number Of Black or African American Beneficiaries |
442 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0935 |