National Provider Identifier [NPI]: |
1750389730 |
Last Name Of The Provider |
COAR |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
748 S NEW ST |
Street Address 2 Of The Provider |
SUITES C & D |
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199043573 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3381 |
Number Of Medicare Beneficiaries |
714 |
Total Submitted Charge Amount |
699550 |
Total Medicare Allowed Amount |
379390.76 |
Total Medicare Payment Amount |
291738.79 |
Total Medicare Standardized Payment Amount |
289098.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
444 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
7480 |
Total Drug Medicare AllowedAmount |
6610.62 |
Total Drug Medicare PaymentAmount |
5481.35 |
Total Drug Medicare Standardized Payment Amount |
5481.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2937 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
692070 |
Total Medical Medicare Allowed Amount |
372780.14 |
Total Medical Medicare Payment Amount |
286257.44 |
Total Medical Medicare Standardized Payment Amount |
283616.8 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
429 |
Number Of Black or African American Beneficiaries |
250 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
3.714 |