National Provider Identifier [NPI]: |
1609869932 |
Last Name Of The Provider |
DUHAMEL |
First Name Of The Provider |
DAVID |
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 |
1400 S JOYCE ST |
Street Address 2 Of The Provider |
SUITE 126 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222021872 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
1661 |
Number Of Medicare Beneficiaries |
416 |
Total Submitted Charge Amount |
780818 |
Total Medicare Allowed Amount |
185711.03 |
Total Medicare Payment Amount |
142122.66 |
Total Medicare Standardized Payment Amount |
129483 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
866 |
Total Drug Medicare AllowedAmount |
343.16 |
Total Drug Medicare PaymentAmount |
335.4 |
Total Drug Medicare Standardized Payment Amount |
335.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
1605 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
779952 |
Total Medical Medicare Allowed Amount |
185367.87 |
Total Medical Medicare Payment Amount |
141787.26 |
Total Medical Medicare Standardized Payment Amount |
129147.6 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
301 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9986 |