National Provider Identifier [NPI]: |
1083635387 |
Last Name Of The Provider |
DALURY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8322 BELLONA AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
TOWSON |
Zip Code Of The Provider |
212042012 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
6301 |
Number Of Medicare Beneficiaries |
978 |
Total Submitted Charge Amount |
2400823.49 |
Total Medicare Allowed Amount |
701024.08 |
Total Medicare Payment Amount |
530827.62 |
Total Medicare Standardized Payment Amount |
496181.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2502 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
26730 |
Total Drug Medicare AllowedAmount |
10622.38 |
Total Drug Medicare PaymentAmount |
8267.58 |
Total Drug Medicare Standardized Payment Amount |
8267.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3799 |
Number Of Medicare Beneficiaries With Medical Services |
977 |
Total Medical Submitted Charge Amount |
2374093.49 |
Total Medical Medicare Allowed Amount |
690401.7 |
Total Medical Medicare Payment Amount |
522560.04 |
Total Medical Medicare Standardized Payment Amount |
487914.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
469 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
679 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
924 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
951 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9072 |