National Provider Identifier [NPI]: |
1275619652 |
Last Name Of The Provider |
SINGSON |
First Name Of The Provider |
DOMINGO |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1021 GILPIN AVENUE |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
19806 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
2652 |
Number Of Medicare Beneficiaries |
336 |
Total Submitted Charge Amount |
258351 |
Total Medicare Allowed Amount |
208011.81 |
Total Medicare Payment Amount |
147774.3 |
Total Medicare Standardized Payment Amount |
147674.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
195 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
7451 |
Total Drug Medicare AllowedAmount |
3965.83 |
Total Drug Medicare PaymentAmount |
3878.77 |
Total Drug Medicare Standardized Payment Amount |
3878.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
2457 |
Number Of Medicare Beneficiaries With Medical Services |
336 |
Total Medical Submitted Charge Amount |
250900 |
Total Medical Medicare Allowed Amount |
204045.98 |
Total Medical Medicare Payment Amount |
143895.53 |
Total Medical Medicare Standardized Payment Amount |
143795.64 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
110 |
Number Of Black or African American Beneficiaries |
188 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
167 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
36 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.45 |