National Provider Identifier [NPI]: |
1801851381 |
Last Name Of The Provider |
DUMAS |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
705 BATTLEFIELD BLVD N |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CHESAPEAKE |
Zip Code Of The Provider |
233204901 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
1313 |
Number Of Medicare Beneficiaries |
398 |
Total Submitted Charge Amount |
112803.12 |
Total Medicare Allowed Amount |
48043.71 |
Total Medicare Payment Amount |
34035.87 |
Total Medicare Standardized Payment Amount |
35305.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
81 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
706.12 |
Total Drug Medicare AllowedAmount |
169.81 |
Total Drug Medicare PaymentAmount |
130.94 |
Total Drug Medicare Standardized Payment Amount |
130.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
1232 |
Number Of Medicare Beneficiaries With Medical Services |
398 |
Total Medical Submitted Charge Amount |
112097 |
Total Medical Medicare Allowed Amount |
47873.9 |
Total Medical Medicare Payment Amount |
33904.93 |
Total Medical Medicare Standardized Payment Amount |
35174.15 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
277 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
217 |
Number Of Black or African American Beneficiaries |
167 |
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 |
325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0677 |