National Provider Identifier [NPI]: |
1396728754 |
Last Name Of The Provider |
DESMAN |
First Name Of The Provider |
SCOTT |
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 |
1050 SE MONTEREY RD |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
STUART |
Zip Code Of The Provider |
349944512 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
7862 |
Number Of Medicare Beneficiaries |
1300 |
Total Submitted Charge Amount |
1855220.57 |
Total Medicare Allowed Amount |
581205.4 |
Total Medicare Payment Amount |
434043.34 |
Total Medicare Standardized Payment Amount |
402560.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
950 |
Number Of Medicare Beneficiaries With Drug Services |
405 |
Total Drug Submitted ChargeAmount |
56484 |
Total Drug Medicare AllowedAmount |
31863.14 |
Total Drug Medicare PaymentAmount |
24298.32 |
Total Drug Medicare Standardized Payment Amount |
24298.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
6912 |
Number Of Medicare Beneficiaries With Medical Services |
1300 |
Total Medical Submitted Charge Amount |
1798736.57 |
Total Medical Medicare Allowed Amount |
549342.26 |
Total Medical Medicare Payment Amount |
409745.02 |
Total Medical Medicare Standardized Payment Amount |
378262.35 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
584 |
Number Of Beneficiaries Age 75 to 84 |
484 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
761 |
Number Of Male Beneficiaries |
539 |
Number Of Non Hispanic White Beneficiaries |
1243 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0192 |