National Provider Identifier [NPI]: |
1407836299 |
Last Name Of The Provider |
CAPONE |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 MEDICAL CIR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
226013300 |
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 |
68 |
Number Of Services |
16228 |
Number Of Medicare Beneficiaries |
1610 |
Total Submitted Charge Amount |
1237746 |
Total Medicare Allowed Amount |
410359.45 |
Total Medicare Payment Amount |
282861.31 |
Total Medicare Standardized Payment Amount |
290584.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13305 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
404349 |
Total Drug Medicare AllowedAmount |
148927.04 |
Total Drug Medicare PaymentAmount |
84823.18 |
Total Drug Medicare Standardized Payment Amount |
84823.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2923 |
Number Of Medicare Beneficiaries With Medical Services |
1610 |
Total Medical Submitted Charge Amount |
833397 |
Total Medical Medicare Allowed Amount |
261432.41 |
Total Medical Medicare Payment Amount |
198038.13 |
Total Medical Medicare Standardized Payment Amount |
205761.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
231 |
Number Of Beneficiaries Age 65 to 74 |
620 |
Number Of Beneficiaries Age 75 to 84 |
536 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
891 |
Number Of Male Beneficiaries |
719 |
Number Of Non Hispanic White Beneficiaries |
1530 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
30 |
Average HCC Risk Score Of Beneficiaries |
1.3199 |