National Provider Identifier [NPI]: |
1053392357 |
Last Name Of The Provider |
PEYTON |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21475 RIDGETOP CIR |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
STERLING |
Zip Code Of The Provider |
201666580 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
8151 |
Number Of Medicare Beneficiaries |
910 |
Total Submitted Charge Amount |
2494387.64 |
Total Medicare Allowed Amount |
809040.07 |
Total Medicare Payment Amount |
610452.35 |
Total Medicare Standardized Payment Amount |
594870.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2459 |
Number Of Medicare Beneficiaries With Drug Services |
337 |
Total Drug Submitted ChargeAmount |
370949.64 |
Total Drug Medicare AllowedAmount |
179835 |
Total Drug Medicare PaymentAmount |
138743.49 |
Total Drug Medicare Standardized Payment Amount |
138743.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
5692 |
Number Of Medicare Beneficiaries With Medical Services |
910 |
Total Medical Submitted Charge Amount |
2123438 |
Total Medical Medicare Allowed Amount |
629205.07 |
Total Medical Medicare Payment Amount |
471708.86 |
Total Medical Medicare Standardized Payment Amount |
456126.73 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
492 |
Number Of Beneficiaries Age 75 to 84 |
303 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
604 |
Number Of Male Beneficiaries |
306 |
Number Of Non Hispanic White Beneficiaries |
781 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
49 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
856 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9533 |