Medicare Facts for Dr. Daniel Sinclair, MD


National Provider Identifier [NPI]: 1205895885
Last Name Of The Provider SINCLAIR
First Name Of The Provider DANIEL
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 19343 SUNSHINE AVE
Street Address 2 Of The Provider
City Of The Provider COVINGTON
Zip Code Of The Provider 704338834
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 347
Number Of Medicare Beneficiaries 72
Total Submitted Charge Amount 54691
Total Medicare Allowed Amount 16131.92
Total Medicare Payment Amount 11224.2
Total Medicare Standardized Payment Amount 12862.76
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 42
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 537
Total Drug Medicare AllowedAmount 196.48
Total Drug Medicare PaymentAmount 138.65
Total Drug Medicare Standardized Payment Amount 138.65
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 33
Number Of Medical Services 305
Number Of Medicare Beneficiaries With Medical Services 72
Total Medical Submitted Charge Amount 54154
Total Medical Medicare Allowed Amount 15935.44
Total Medical Medicare Payment Amount 11085.55
Total Medical Medicare Standardized Payment Amount 12724.11
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 28
Number Of Beneficiaries Age 75 to 84 19
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 42
Number Of Male Beneficiaries 30
Number Of Non Hispanic White Beneficiaries 59
Number Of Black or African American Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement 55
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 24
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2971

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