National Provider Identifier [NPI]: |
1689629545 |
Last Name Of The Provider |
DINGLE |
First Name Of The Provider |
SEAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6050 CATTLERIDGE BLVD STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326028 |
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 |
129 |
Number Of Services |
14616 |
Number Of Medicare Beneficiaries |
1315 |
Total Submitted Charge Amount |
2740420 |
Total Medicare Allowed Amount |
992312.32 |
Total Medicare Payment Amount |
751639.01 |
Total Medicare Standardized Payment Amount |
728800.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
5998 |
Number Of Medicare Beneficiaries With Drug Services |
721 |
Total Drug Submitted ChargeAmount |
193885 |
Total Drug Medicare AllowedAmount |
106360.6 |
Total Drug Medicare PaymentAmount |
81506.5 |
Total Drug Medicare Standardized Payment Amount |
81506.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
8618 |
Number Of Medicare Beneficiaries With Medical Services |
1315 |
Total Medical Submitted Charge Amount |
2546535 |
Total Medical Medicare Allowed Amount |
885951.72 |
Total Medical Medicare Payment Amount |
670132.51 |
Total Medical Medicare Standardized Payment Amount |
647293.75 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
585 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
810 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
1249 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1496 |