National Provider Identifier [NPI]: |
1225149750 |
Last Name Of The Provider |
JENNINGS |
First Name Of The Provider |
TORINO |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10181 SCOTS LANDING RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MECHANICSVILLE |
Zip Code Of The Provider |
231166683 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
3073 |
Number Of Medicare Beneficiaries |
647 |
Total Submitted Charge Amount |
484687 |
Total Medicare Allowed Amount |
267760.37 |
Total Medicare Payment Amount |
184383.63 |
Total Medicare Standardized Payment Amount |
187968.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
84 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
2100 |
Total Drug Medicare AllowedAmount |
720.72 |
Total Drug Medicare PaymentAmount |
706.44 |
Total Drug Medicare Standardized Payment Amount |
706.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2989 |
Number Of Medicare Beneficiaries With Medical Services |
647 |
Total Medical Submitted Charge Amount |
482587 |
Total Medical Medicare Allowed Amount |
267039.65 |
Total Medical Medicare Payment Amount |
183677.19 |
Total Medical Medicare Standardized Payment Amount |
187262.12 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
86 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
331 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
525 |
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 |
501 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
72 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8471 |