Medicare Facts for Dr. David L. Higgins, MD


National Provider Identifier [NPI]: 1982648713
Last Name Of The Provider HIGGINS
First Name Of The Provider DAVID
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 17904 GEORGIA AVENUE
Street Address 2 Of The Provider SUITE 215
City Of The Provider OLNEY
Zip Code Of The Provider 20832
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 63
Number Of Services 890
Number Of Medicare Beneficiaries 186
Total Submitted Charge Amount 747231
Total Medicare Allowed Amount 145173.08
Total Medicare Payment Amount 111164.14
Total Medicare Standardized Payment Amount 98806.41
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 138
Number Of Medicare Beneficiaries With Drug Services 26
Total Drug Submitted ChargeAmount 7275
Total Drug Medicare AllowedAmount 2047.39
Total Drug Medicare PaymentAmount 1565.53
Total Drug Medicare Standardized Payment Amount 1565.53
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 60
Number Of Medical Services 752
Number Of Medicare Beneficiaries With Medical Services 186
Total Medical Submitted Charge Amount 739956
Total Medical Medicare Allowed Amount 143125.69
Total Medical Medicare Payment Amount 109598.61
Total Medical Medicare Standardized Payment Amount 97240.88
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 100
Number Of Beneficiaries Age 75 to 84 58
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 110
Number Of Male Beneficiaries 76
Number Of Non Hispanic White Beneficiaries 157
Number Of Black or African American Beneficiaries 16
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 7
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 12
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8472

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