National Provider Identifier [NPI]: |
1124259254 |
Last Name Of The Provider |
ASBURY |
First Name Of The Provider |
CURTIS |
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 |
38394 DUPONT BLVD |
Street Address 2 Of The Provider |
UNIT H |
City Of The Provider |
SELBYVILLE |
Zip Code Of The Provider |
19975 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
10163 |
Number Of Medicare Beneficiaries |
1857 |
Total Submitted Charge Amount |
1555628.42 |
Total Medicare Allowed Amount |
697819.82 |
Total Medicare Payment Amount |
532963.83 |
Total Medicare Standardized Payment Amount |
514939.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
36672 |
Total Drug Medicare AllowedAmount |
36249.18 |
Total Drug Medicare PaymentAmount |
28404.2 |
Total Drug Medicare Standardized Payment Amount |
28404.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
9975 |
Number Of Medicare Beneficiaries With Medical Services |
1857 |
Total Medical Submitted Charge Amount |
1518956.42 |
Total Medical Medicare Allowed Amount |
661570.64 |
Total Medical Medicare Payment Amount |
504559.63 |
Total Medical Medicare Standardized Payment Amount |
486535.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
1092 |
Number Of Beneficiaries Age 75 to 84 |
543 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
990 |
Number Of Male Beneficiaries |
867 |
Number Of Non Hispanic White Beneficiaries |
1790 |
Number Of Black or African American Beneficiaries |
19 |
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 |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1801 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8306 |