National Provider Identifier [NPI]: |
1124054853 |
Last Name Of The Provider |
DAHMS |
First Name Of The Provider |
DWITE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
375 ROLLING OAKS DR |
Street Address 2 Of The Provider |
STE. 200 |
City Of The Provider |
THOUSAND OAKS |
Zip Code Of The Provider |
913611023 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
8599 |
Number Of Medicare Beneficiaries |
720 |
Total Submitted Charge Amount |
1436867.79 |
Total Medicare Allowed Amount |
571621.41 |
Total Medicare Payment Amount |
429933.49 |
Total Medicare Standardized Payment Amount |
393037.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3518 |
Number Of Medicare Beneficiaries With Drug Services |
388 |
Total Drug Submitted ChargeAmount |
74212.79 |
Total Drug Medicare AllowedAmount |
39405.67 |
Total Drug Medicare PaymentAmount |
30887.38 |
Total Drug Medicare Standardized Payment Amount |
30887.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
5081 |
Number Of Medicare Beneficiaries With Medical Services |
720 |
Total Medical Submitted Charge Amount |
1362655 |
Total Medical Medicare Allowed Amount |
532215.74 |
Total Medical Medicare Payment Amount |
399046.11 |
Total Medical Medicare Standardized Payment Amount |
362150.57 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
267 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
288 |
Number Of Non Hispanic White Beneficiaries |
686 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.087 |