National Provider Identifier [NPI]: |
1487836219 |
Last Name Of The Provider |
CARTLEDGE |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5365 W ATLANTIC AVE |
Street Address 2 Of The Provider |
SUITE 504 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334848172 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
20653 |
Number Of Medicare Beneficiaries |
512 |
Total Submitted Charge Amount |
1051884.47 |
Total Medicare Allowed Amount |
740896.42 |
Total Medicare Payment Amount |
602136.02 |
Total Medicare Standardized Payment Amount |
556757.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
7826 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
25957.39 |
Total Drug Medicare AllowedAmount |
24960.89 |
Total Drug Medicare PaymentAmount |
19522.76 |
Total Drug Medicare Standardized Payment Amount |
19522.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
12827 |
Number Of Medicare Beneficiaries With Medical Services |
512 |
Total Medical Submitted Charge Amount |
1025927.08 |
Total Medical Medicare Allowed Amount |
715935.53 |
Total Medical Medicare Payment Amount |
582613.26 |
Total Medical Medicare Standardized Payment Amount |
537235.16 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
487 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
462 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6671 |