Medicare Facts for Dr. Alfred A. Durham, MD


National Provider Identifier [NPI]: 1306841887
Last Name Of The Provider DURHAM
First Name Of The Provider ALFRED
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 1802 BRAEBURN DR
Street Address 2 Of The Provider
City Of The Provider SALEM
Zip Code Of The Provider 241537357
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 135
Number Of Services 5815
Number Of Medicare Beneficiaries 850
Total Submitted Charge Amount 1252685
Total Medicare Allowed Amount 362532.66
Total Medicare Payment Amount 273269.2
Total Medicare Standardized Payment Amount 283747.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 3098
Number Of Medicare Beneficiaries With Drug Services 381
Total Drug Submitted ChargeAmount 26739
Total Drug Medicare AllowedAmount 9290.37
Total Drug Medicare PaymentAmount 7070.91
Total Drug Medicare Standardized Payment Amount 7070.91
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 132
Number Of Medical Services 2717
Number Of Medicare Beneficiaries With Medical Services 850
Total Medical Submitted Charge Amount 1225946
Total Medical Medicare Allowed Amount 353242.29
Total Medical Medicare Payment Amount 266198.29
Total Medical Medicare Standardized Payment Amount 276676.54
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 112
Number Of Beneficiaries Age 65 to 74 339
Number Of Beneficiaries Age 75 to 84 280
Number Of Beneficiaries Age Greater 84 119
Number Of Female Beneficiaries 531
Number Of Male Beneficiaries 319
Number Of Non Hispanic White Beneficiaries 767
Number Of Black or African American Beneficiaries 71
Number Of AsianPacific Islander Beneficiaries 0
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 743
Number Of Beneficiaries With Medicare Medicaid Entitlement 107
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 23
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.0523

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