National Provider Identifier [NPI]: |
1003815218 |
Last Name Of The Provider |
DHILLON |
First Name Of The Provider |
MANJIT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
131 JENNICK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLONIAL HEIGHTS |
Zip Code Of The Provider |
238344905 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
170 |
Number Of Services |
5721 |
Number Of Medicare Beneficiaries |
638 |
Total Submitted Charge Amount |
760051.25 |
Total Medicare Allowed Amount |
294852.07 |
Total Medicare Payment Amount |
219941.53 |
Total Medicare Standardized Payment Amount |
226681.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3492 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
117048 |
Total Drug Medicare AllowedAmount |
55135.92 |
Total Drug Medicare PaymentAmount |
40705.41 |
Total Drug Medicare Standardized Payment Amount |
40705.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
164 |
Number Of Medical Services |
2229 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
643003.25 |
Total Medical Medicare Allowed Amount |
239716.15 |
Total Medical Medicare Payment Amount |
179236.12 |
Total Medical Medicare Standardized Payment Amount |
185976.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
476 |
Number Of Male Beneficiaries |
162 |
Number Of Non Hispanic White Beneficiaries |
389 |
Number Of Black or African American Beneficiaries |
209 |
Number Of AsianPacific Islander Beneficiaries |
16 |
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 |
538 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2312 |