National Provider Identifier [NPI]: |
1790780229 |
Last Name Of The Provider |
DORSAY |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 N CATTLEMEN RD STE 220 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326422 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
3364 |
Number Of Medicare Beneficiaries |
906 |
Total Submitted Charge Amount |
1178828.74 |
Total Medicare Allowed Amount |
522204.78 |
Total Medicare Payment Amount |
401841.88 |
Total Medicare Standardized Payment Amount |
404042.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
685 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
232.9 |
Total Drug Medicare AllowedAmount |
134.17 |
Total Drug Medicare PaymentAmount |
103.37 |
Total Drug Medicare Standardized Payment Amount |
103.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
186 |
Number Of Medical Services |
2679 |
Number Of Medicare Beneficiaries With Medical Services |
906 |
Total Medical Submitted Charge Amount |
1178595.84 |
Total Medical Medicare Allowed Amount |
522070.61 |
Total Medical Medicare Payment Amount |
401738.51 |
Total Medical Medicare Standardized Payment Amount |
403938.72 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
323 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
450 |
Number Of Non Hispanic White Beneficiaries |
808 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
777 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1533 |