National Provider Identifier [NPI]: |
1124007497 |
Last Name Of The Provider |
SAUNDERS |
First Name Of The Provider |
DARRICK |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
657 DEL PRADO BLVD S |
Street Address 2 Of The Provider |
|
City Of The Provider |
CAPE CORAL |
Zip Code Of The Provider |
339902666 |
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 |
109 |
Number Of Services |
3452 |
Number Of Medicare Beneficiaries |
522 |
Total Submitted Charge Amount |
859366.25 |
Total Medicare Allowed Amount |
349949.74 |
Total Medicare Payment Amount |
263799.14 |
Total Medicare Standardized Payment Amount |
253837.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1150 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
40511.25 |
Total Drug Medicare AllowedAmount |
24637.4 |
Total Drug Medicare PaymentAmount |
18997.38 |
Total Drug Medicare Standardized Payment Amount |
18997.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
2302 |
Number Of Medicare Beneficiaries With Medical Services |
522 |
Total Medical Submitted Charge Amount |
818855 |
Total Medical Medicare Allowed Amount |
325312.34 |
Total Medical Medicare Payment Amount |
244801.76 |
Total Medical Medicare Standardized Payment Amount |
234840.59 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
491 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1338 |