Medicare Facts for Dr. Daniel P. Hely, MD


National Provider Identifier [NPI]: 1053301549
Last Name Of The Provider HELY
First Name Of The Provider DANIEL
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1 DUNWOODY DR
Street Address 2 Of The Provider
City Of The Provider CARLISLE
Zip Code Of The Provider 170139565
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 115
Number Of Services 3301
Number Of Medicare Beneficiaries 561
Total Submitted Charge Amount 509165.04
Total Medicare Allowed Amount 230011.85
Total Medicare Payment Amount 171577.17
Total Medicare Standardized Payment Amount 182208.95
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 1360
Number Of Medicare Beneficiaries With Drug Services 143
Total Drug Submitted ChargeAmount 21232.04
Total Drug Medicare AllowedAmount 14231.88
Total Drug Medicare PaymentAmount 11022.3
Total Drug Medicare Standardized Payment Amount 11022.3
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 112
Number Of Medical Services 1941
Number Of Medicare Beneficiaries With Medical Services 561
Total Medical Submitted Charge Amount 487933
Total Medical Medicare Allowed Amount 215779.97
Total Medical Medicare Payment Amount 160554.87
Total Medical Medicare Standardized Payment Amount 171186.65
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 63
Number Of Beneficiaries Age 65 to 74 217
Number Of Beneficiaries Age 75 to 84 166
Number Of Beneficiaries Age Greater 84 115
Number Of Female Beneficiaries 336
Number Of Male Beneficiaries 225
Number Of Non Hispanic White Beneficiaries 539
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 488
Number Of Beneficiaries With Medicare Medicaid Entitlement 73
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 6
Percent Of With Cancer 13
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 23
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 61
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2026

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