National Provider Identifier [NPI]: |
1083687065 |
Last Name Of The Provider |
DINENBERG |
First Name Of The Provider |
ARTHUR |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
943 S BENEVA RD |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342322476 |
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 |
96 |
Number Of Services |
6918 |
Number Of Medicare Beneficiaries |
813 |
Total Submitted Charge Amount |
767523 |
Total Medicare Allowed Amount |
351433.64 |
Total Medicare Payment Amount |
263258.7 |
Total Medicare Standardized Payment Amount |
261975.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4482 |
Number Of Medicare Beneficiaries With Drug Services |
371 |
Total Drug Submitted ChargeAmount |
57312 |
Total Drug Medicare AllowedAmount |
22780.74 |
Total Drug Medicare PaymentAmount |
17676.45 |
Total Drug Medicare Standardized Payment Amount |
17676.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
2436 |
Number Of Medicare Beneficiaries With Medical Services |
813 |
Total Medical Submitted Charge Amount |
710211 |
Total Medical Medicare Allowed Amount |
328652.9 |
Total Medical Medicare Payment Amount |
245582.25 |
Total Medical Medicare Standardized Payment Amount |
244299.43 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
768 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
772 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1316 |