National Provider Identifier [NPI]: |
1932212248 |
Last Name Of The Provider |
SCHENGBER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 J CLYDE MORRIS BLVD |
Street Address 2 Of The Provider |
RIVERSIDE REGIONAL MEDICAL COMPLEX |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
23601 |
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 |
207 |
Number Of Services |
6422 |
Number Of Medicare Beneficiaries |
4490 |
Total Submitted Charge Amount |
791046 |
Total Medicare Allowed Amount |
223868.73 |
Total Medicare Payment Amount |
168200.37 |
Total Medicare Standardized Payment Amount |
173798.24 |
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 |
207 |
Number Of Medical Services |
6422 |
Number Of Medicare Beneficiaries With Medical Services |
4490 |
Total Medical Submitted Charge Amount |
791046 |
Total Medical Medicare Allowed Amount |
223868.73 |
Total Medical Medicare Payment Amount |
168200.37 |
Total Medical Medicare Standardized Payment Amount |
173798.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
593 |
Number Of Beneficiaries Age 65 to 74 |
1843 |
Number Of Beneficiaries Age 75 to 84 |
1364 |
Number Of Beneficiaries Age Greater 84 |
690 |
Number Of Female Beneficiaries |
2872 |
Number Of Male Beneficiaries |
1618 |
Number Of Non Hispanic White Beneficiaries |
3538 |
Number Of Black or African American Beneficiaries |
842 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
3720 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
770 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4951 |