National Provider Identifier [NPI]: |
1669568044 |
Last Name Of The Provider |
VIRGIN |
First Name Of The Provider |
TONY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
912 PARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
IRONTON |
Zip Code Of The Provider |
456381596 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
2208 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
233406.54 |
Total Medicare Allowed Amount |
108886.34 |
Total Medicare Payment Amount |
74391.11 |
Total Medicare Standardized Payment Amount |
78435.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
545 |
Number Of Medicare Beneficiaries With Drug Services |
136 |
Total Drug Submitted ChargeAmount |
13356.54 |
Total Drug Medicare AllowedAmount |
1097.55 |
Total Drug Medicare PaymentAmount |
959.32 |
Total Drug Medicare Standardized Payment Amount |
959.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
1663 |
Number Of Medicare Beneficiaries With Medical Services |
584 |
Total Medical Submitted Charge Amount |
220050 |
Total Medical Medicare Allowed Amount |
107788.79 |
Total Medical Medicare Payment Amount |
73431.79 |
Total Medical Medicare Standardized Payment Amount |
77476.58 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
278 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
326 |
Number Of Male Beneficiaries |
266 |
Number Of Non Hispanic White Beneficiaries |
578 |
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 |
258 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
334 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.282 |