National Provider Identifier [NPI]: |
1700867017 |
Last Name Of The Provider |
DASS |
First Name Of The Provider |
ARUN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4466 W BRISTOL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485073170 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
144 |
Number Of Services |
4049 |
Number Of Medicare Beneficiaries |
1095 |
Total Submitted Charge Amount |
1128022 |
Total Medicare Allowed Amount |
469763.68 |
Total Medicare Payment Amount |
351223.88 |
Total Medicare Standardized Payment Amount |
370284.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
476 |
Number Of Medicare Beneficiaries With Drug Services |
349 |
Total Drug Submitted ChargeAmount |
16650 |
Total Drug Medicare AllowedAmount |
2608.29 |
Total Drug Medicare PaymentAmount |
2008.35 |
Total Drug Medicare Standardized Payment Amount |
2008.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
3573 |
Number Of Medicare Beneficiaries With Medical Services |
1095 |
Total Medical Submitted Charge Amount |
1111372 |
Total Medical Medicare Allowed Amount |
467155.39 |
Total Medical Medicare Payment Amount |
349215.53 |
Total Medical Medicare Standardized Payment Amount |
368276.21 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
662 |
Number Of Male Beneficiaries |
433 |
Number Of Non Hispanic White Beneficiaries |
919 |
Number Of Black or African American Beneficiaries |
148 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1262 |