National Provider Identifier [NPI]: |
1851369375 |
Last Name Of The Provider |
EASON |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1107A BROOKDALE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARTINSVILLE |
Zip Code Of The Provider |
241124501 |
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 |
109 |
Number Of Services |
18659 |
Number Of Medicare Beneficiaries |
1059 |
Total Submitted Charge Amount |
765687 |
Total Medicare Allowed Amount |
464082.46 |
Total Medicare Payment Amount |
375097.58 |
Total Medicare Standardized Payment Amount |
380614.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
4251 |
Number Of Medicare Beneficiaries With Drug Services |
598 |
Total Drug Submitted ChargeAmount |
21623 |
Total Drug Medicare AllowedAmount |
11547.15 |
Total Drug Medicare PaymentAmount |
10721.81 |
Total Drug Medicare Standardized Payment Amount |
10721.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
14408 |
Number Of Medicare Beneficiaries With Medical Services |
1059 |
Total Medical Submitted Charge Amount |
744064 |
Total Medical Medicare Allowed Amount |
452535.31 |
Total Medical Medicare Payment Amount |
364375.77 |
Total Medical Medicare Standardized Payment Amount |
369892.46 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
357 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
649 |
Number Of Male Beneficiaries |
410 |
Number Of Non Hispanic White Beneficiaries |
963 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
928 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.032 |