National Provider Identifier [NPI]: |
1912046228 |
Last Name Of The Provider |
DAUS |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1229 E SEMINOLE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
658042227 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
3123 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
921444 |
Total Medicare Allowed Amount |
247966.63 |
Total Medicare Payment Amount |
185375.01 |
Total Medicare Standardized Payment Amount |
199509.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1355 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
33386 |
Total Drug Medicare AllowedAmount |
14729.12 |
Total Drug Medicare PaymentAmount |
11295.45 |
Total Drug Medicare Standardized Payment Amount |
11295.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
1768 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
888058 |
Total Medical Medicare Allowed Amount |
233237.51 |
Total Medical Medicare Payment Amount |
174079.56 |
Total Medical Medicare Standardized Payment Amount |
188213.8 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
447 |
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 |
366 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1713 |