National Provider Identifier [NPI]: |
1780646273 |
Last Name Of The Provider |
DUHON |
First Name Of The Provider |
DENISE |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12420 WARWICK BLVD |
Street Address 2 Of The Provider |
BLDG. 3 |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
236063001 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
3521 |
Number Of Medicare Beneficiaries |
420 |
Total Submitted Charge Amount |
219421 |
Total Medicare Allowed Amount |
136348.91 |
Total Medicare Payment Amount |
108283.09 |
Total Medicare Standardized Payment Amount |
110266.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
5649 |
Total Drug Medicare AllowedAmount |
4496.15 |
Total Drug Medicare PaymentAmount |
4405.98 |
Total Drug Medicare Standardized Payment Amount |
4405.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
3407 |
Number Of Medicare Beneficiaries With Medical Services |
420 |
Total Medical Submitted Charge Amount |
213772 |
Total Medical Medicare Allowed Amount |
131852.76 |
Total Medical Medicare Payment Amount |
103877.11 |
Total Medical Medicare Standardized Payment Amount |
105860.31 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
347 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
409 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1491 |