National Provider Identifier [NPI]: |
1427199637 |
Last Name Of The Provider |
DAS |
First Name Of The Provider |
NIRODE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
667 N RIVER ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
PLAINS |
Zip Code Of The Provider |
187051013 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5273 |
Number Of Medicare Beneficiaries |
1733 |
Total Submitted Charge Amount |
846554 |
Total Medicare Allowed Amount |
401521.87 |
Total Medicare Payment Amount |
304626.13 |
Total Medicare Standardized Payment Amount |
316474.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
608 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
30768 |
Total Drug Medicare AllowedAmount |
29877.19 |
Total Drug Medicare PaymentAmount |
23059.17 |
Total Drug Medicare Standardized Payment Amount |
23059.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
4665 |
Number Of Medicare Beneficiaries With Medical Services |
1733 |
Total Medical Submitted Charge Amount |
815786 |
Total Medical Medicare Allowed Amount |
371644.68 |
Total Medical Medicare Payment Amount |
281566.96 |
Total Medical Medicare Standardized Payment Amount |
293415.26 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
571 |
Number Of Beneficiaries Age 75 to 84 |
539 |
Number Of Beneficiaries Age Greater 84 |
408 |
Number Of Female Beneficiaries |
985 |
Number Of Male Beneficiaries |
748 |
Number Of Non Hispanic White Beneficiaries |
1667 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
402 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.63 |