National Provider Identifier [NPI]: |
1790808814 |
Last Name Of The Provider |
DENMARK |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
541 MAIN ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SOUTH WEYMOUTH |
Zip Code Of The Provider |
021901868 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
3564 |
Number Of Medicare Beneficiaries |
1699 |
Total Submitted Charge Amount |
832871 |
Total Medicare Allowed Amount |
384386.83 |
Total Medicare Payment Amount |
293030.99 |
Total Medicare Standardized Payment Amount |
277160.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
79 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
6029 |
Total Drug Medicare AllowedAmount |
4047.5 |
Total Drug Medicare PaymentAmount |
3177.96 |
Total Drug Medicare Standardized Payment Amount |
3177.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
3485 |
Number Of Medicare Beneficiaries With Medical Services |
1699 |
Total Medical Submitted Charge Amount |
826842 |
Total Medical Medicare Allowed Amount |
380339.33 |
Total Medical Medicare Payment Amount |
289853.03 |
Total Medical Medicare Standardized Payment Amount |
273982.06 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
564 |
Number Of Beneficiaries Age 75 to 84 |
583 |
Number Of Beneficiaries Age Greater 84 |
406 |
Number Of Female Beneficiaries |
935 |
Number Of Male Beneficiaries |
764 |
Number Of Non Hispanic White Beneficiaries |
1647 |
Number Of Black or African American Beneficiaries |
13 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1418 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7231 |