Medicare Facts for Dr. Mark D. Dabagia, MD


National Provider Identifier [NPI]: 1891795852
Last Name Of The Provider DABAGIA
First Name Of The Provider MARK
Middle Initial Of The Provider D
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2512 E DUPONT RD
Street Address 2 Of The Provider SUITE 100
City Of The Provider FORT WAYNE
Zip Code Of The Provider 468251609
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 90
Number Of Services 11996.1
Number Of Medicare Beneficiaries 596
Total Submitted Charge Amount 787686.16
Total Medicare Allowed Amount 255804.24
Total Medicare Payment Amount 192313.55
Total Medicare Standardized Payment Amount 203460.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 9808
Number Of Medicare Beneficiaries With Drug Services 68
Total Drug Submitted ChargeAmount 103155.6
Total Drug Medicare AllowedAmount 26393.14
Total Drug Medicare PaymentAmount 20432.72
Total Drug Medicare Standardized Payment Amount 20432.72
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 83
Number Of Medical Services 2188.1
Number Of Medicare Beneficiaries With Medical Services 596
Total Medical Submitted Charge Amount 684530.56
Total Medical Medicare Allowed Amount 229411.1
Total Medical Medicare Payment Amount 171880.83
Total Medical Medicare Standardized Payment Amount 183027.8
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 80
Number Of Beneficiaries Age 65 to 74 295
Number Of Beneficiaries Age 75 to 84 159
Number Of Beneficiaries Age Greater 84 62
Number Of Female Beneficiaries 142
Number Of Male Beneficiaries 454
Number Of Non Hispanic White Beneficiaries 543
Number Of Black or African American Beneficiaries 19
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 18
Number Of Beneficiaries With Medicare Only Entitlement 509
Number Of Beneficiaries With Medicare Medicaid Entitlement 87
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 4
Percent Of With Cancer 30
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 45
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 20
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.6305

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