National Provider Identifier [NPI]: |
1851324784 |
Last Name Of The Provider |
DIPAOLO |
First Name Of The Provider |
DANECA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
204 8TH ST |
Street Address 2 Of The Provider |
GREENWOOD ORTHOPEDICS |
City Of The Provider |
GREENWOOD |
Zip Code Of The Provider |
389304012 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
189 |
Number Of Services |
8275 |
Number Of Medicare Beneficiaries |
730 |
Total Submitted Charge Amount |
1181517.5 |
Total Medicare Allowed Amount |
423725.7 |
Total Medicare Payment Amount |
321449.55 |
Total Medicare Standardized Payment Amount |
348439.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4236 |
Number Of Medicare Beneficiaries With Drug Services |
285 |
Total Drug Submitted ChargeAmount |
84720 |
Total Drug Medicare AllowedAmount |
50559.13 |
Total Drug Medicare PaymentAmount |
39543.64 |
Total Drug Medicare Standardized Payment Amount |
39543.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
187 |
Number Of Medical Services |
4039 |
Number Of Medicare Beneficiaries With Medical Services |
730 |
Total Medical Submitted Charge Amount |
1096797.5 |
Total Medical Medicare Allowed Amount |
373166.57 |
Total Medical Medicare Payment Amount |
281905.91 |
Total Medical Medicare Standardized Payment Amount |
308895.88 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
420 |
Number Of Black or African American Beneficiaries |
299 |
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 |
391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
339 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4317 |