National Provider Identifier [NPI]: |
1932199965 |
Last Name Of The Provider |
GRIFFITHS |
First Name Of The Provider |
GLENN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
576 JEFFERSON AVE |
Street Address 2 Of The Provider |
MCDONALD ARMY COMMUNITY HOSPITAL |
City Of The Provider |
FORT EUSTIS |
Zip Code Of The Provider |
236041602 |
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 |
46 |
Number Of Services |
1657 |
Number Of Medicare Beneficiaries |
437 |
Total Submitted Charge Amount |
189131 |
Total Medicare Allowed Amount |
135951.67 |
Total Medicare Payment Amount |
89673.17 |
Total Medicare Standardized Payment Amount |
95294.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
176 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
4379 |
Total Drug Medicare AllowedAmount |
2364.3 |
Total Drug Medicare PaymentAmount |
2200 |
Total Drug Medicare Standardized Payment Amount |
2200 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1481 |
Number Of Medicare Beneficiaries With Medical Services |
437 |
Total Medical Submitted Charge Amount |
184752 |
Total Medical Medicare Allowed Amount |
133587.37 |
Total Medical Medicare Payment Amount |
87473.17 |
Total Medical Medicare Standardized Payment Amount |
93094.77 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
196 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
418 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
307 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0989 |