National Provider Identifier [NPI]: |
1144387770 |
Last Name Of The Provider |
DALY |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
315 W 10TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRONT ROYAL |
Zip Code Of The Provider |
226302807 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3395 |
Number Of Medicare Beneficiaries |
1114 |
Total Submitted Charge Amount |
338214.91 |
Total Medicare Allowed Amount |
163901.02 |
Total Medicare Payment Amount |
112864.69 |
Total Medicare Standardized Payment Amount |
118128.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1031 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
29479.53 |
Total Drug Medicare AllowedAmount |
14848.99 |
Total Drug Medicare PaymentAmount |
11787.61 |
Total Drug Medicare Standardized Payment Amount |
11787.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2364 |
Number Of Medicare Beneficiaries With Medical Services |
1114 |
Total Medical Submitted Charge Amount |
308735.38 |
Total Medical Medicare Allowed Amount |
149052.03 |
Total Medical Medicare Payment Amount |
101077.08 |
Total Medical Medicare Standardized Payment Amount |
106340.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
494 |
Number Of Beneficiaries Age 75 to 84 |
324 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
778 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
1044 |
Number Of Black or African American Beneficiaries |
44 |
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 |
902 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3895 |