National Provider Identifier [NPI]: |
1992732218 |
Last Name Of The Provider |
DAVIS |
First Name Of The Provider |
THORP |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8200 MEADOWBRIDGE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MECHANICSVILLE |
Zip Code Of The Provider |
231162331 |
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 |
87 |
Number Of Services |
2300 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
810193 |
Total Medicare Allowed Amount |
249517.76 |
Total Medicare Payment Amount |
190578.64 |
Total Medicare Standardized Payment Amount |
196872.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
633 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
8075 |
Total Drug Medicare AllowedAmount |
4093.88 |
Total Drug Medicare PaymentAmount |
3188.74 |
Total Drug Medicare Standardized Payment Amount |
3188.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
1667 |
Number Of Medicare Beneficiaries With Medical Services |
417 |
Total Medical Submitted Charge Amount |
802118 |
Total Medical Medicare Allowed Amount |
245423.88 |
Total Medical Medicare Payment Amount |
187389.9 |
Total Medical Medicare Standardized Payment Amount |
193683.77 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
237 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
350 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9428 |