National Provider Identifier [NPI]: |
1023217726 |
Last Name Of The Provider |
NORBY |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3289 WOODBURN RD |
Street Address 2 Of The Provider |
SUITE 060 |
City Of The Provider |
ANNANDALE |
Zip Code Of The Provider |
220036800 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
21710 |
Number Of Medicare Beneficiaries |
1188 |
Total Submitted Charge Amount |
8189159 |
Total Medicare Allowed Amount |
2652537.89 |
Total Medicare Payment Amount |
2041390.36 |
Total Medicare Standardized Payment Amount |
2018074.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
17866 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
200770 |
Total Drug Medicare AllowedAmount |
91361.48 |
Total Drug Medicare PaymentAmount |
69736.55 |
Total Drug Medicare Standardized Payment Amount |
69736.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3844 |
Number Of Medicare Beneficiaries With Medical Services |
1188 |
Total Medical Submitted Charge Amount |
7988389 |
Total Medical Medicare Allowed Amount |
2561176.41 |
Total Medical Medicare Payment Amount |
1971653.81 |
Total Medical Medicare Standardized Payment Amount |
1948337.74 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
583 |
Number Of Beneficiaries Age 75 to 84 |
424 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
590 |
Number Of Male Beneficiaries |
598 |
Number Of Non Hispanic White Beneficiaries |
874 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
104 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1061 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6868 |