National Provider Identifier [NPI]: |
1851382873 |
Last Name Of The Provider |
WALSH |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
X |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 EXECUTIVE DRIVE SUITE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
DANVILLE |
Zip Code Of The Provider |
245414155 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
6795 |
Number Of Medicare Beneficiaries |
1594 |
Total Submitted Charge Amount |
515660 |
Total Medicare Allowed Amount |
310011.75 |
Total Medicare Payment Amount |
223127.32 |
Total Medicare Standardized Payment Amount |
229415.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3859 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
38113 |
Total Drug Medicare AllowedAmount |
21024 |
Total Drug Medicare PaymentAmount |
14694.17 |
Total Drug Medicare Standardized Payment Amount |
14694.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2936 |
Number Of Medicare Beneficiaries With Medical Services |
1594 |
Total Medical Submitted Charge Amount |
477547 |
Total Medical Medicare Allowed Amount |
288987.75 |
Total Medical Medicare Payment Amount |
208433.15 |
Total Medical Medicare Standardized Payment Amount |
214721.54 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
450 |
Number Of Beneficiaries Age 65 to 74 |
521 |
Number Of Beneficiaries Age 75 to 84 |
443 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
952 |
Number Of Male Beneficiaries |
642 |
Number Of Non Hispanic White Beneficiaries |
1293 |
Number Of Black or African American Beneficiaries |
282 |
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 |
1085 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
509 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.3307 |