National Provider Identifier [NPI]: |
1851360853 |
Last Name Of The Provider |
DALUGA |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1411 S CREASY LN |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
479057438 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
4737 |
Number Of Medicare Beneficiaries |
1096 |
Total Submitted Charge Amount |
4578810 |
Total Medicare Allowed Amount |
646274.11 |
Total Medicare Payment Amount |
480231.48 |
Total Medicare Standardized Payment Amount |
518257.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
954 |
Number Of Medicare Beneficiaries With Drug Services |
504 |
Total Drug Submitted ChargeAmount |
91040 |
Total Drug Medicare AllowedAmount |
5625.41 |
Total Drug Medicare PaymentAmount |
4216.12 |
Total Drug Medicare Standardized Payment Amount |
4216.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
3783 |
Number Of Medicare Beneficiaries With Medical Services |
1096 |
Total Medical Submitted Charge Amount |
4487770 |
Total Medical Medicare Allowed Amount |
640648.7 |
Total Medical Medicare Payment Amount |
476015.36 |
Total Medical Medicare Standardized Payment Amount |
514041.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
501 |
Number Of Beneficiaries Age 75 to 84 |
334 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
715 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
1068 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
949 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0271 |