National Provider Identifier [NPI]: |
1457562480 |
Last Name Of The Provider |
WARNER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11110 MEDICAL CAMPUS RD |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217426700 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
5381 |
Number Of Medicare Beneficiaries |
556 |
Total Submitted Charge Amount |
1129600.17 |
Total Medicare Allowed Amount |
322441.96 |
Total Medicare Payment Amount |
244885.81 |
Total Medicare Standardized Payment Amount |
242571.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2545 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
109456.6 |
Total Drug Medicare AllowedAmount |
26739.89 |
Total Drug Medicare PaymentAmount |
20952.67 |
Total Drug Medicare Standardized Payment Amount |
20952.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
2836 |
Number Of Medicare Beneficiaries With Medical Services |
556 |
Total Medical Submitted Charge Amount |
1020143.57 |
Total Medical Medicare Allowed Amount |
295702.07 |
Total Medical Medicare Payment Amount |
223933.14 |
Total Medical Medicare Standardized Payment Amount |
221618.94 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
380 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
511 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
438 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4323 |