Medicare Facts for Dr. Michael A. Caines, MD


National Provider Identifier [NPI]: 1144242298
Last Name Of The Provider CAINES
First Name Of The Provider MICHAEL
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 5838 HARBOUR VIEW BLVD
Street Address 2 Of The Provider SUITE 100
City Of The Provider SUFFOLK
Zip Code Of The Provider 234352663
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 115
Number Of Services 2043
Number Of Medicare Beneficiaries 461
Total Submitted Charge Amount 569786
Total Medicare Allowed Amount 182386.01
Total Medicare Payment Amount 135542.38
Total Medicare Standardized Payment Amount 139152.89
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 92
Number Of Medicare Beneficiaries With Drug Services 40
Total Drug Submitted ChargeAmount 12247
Total Drug Medicare AllowedAmount 5407.65
Total Drug Medicare PaymentAmount 4180.68
Total Drug Medicare Standardized Payment Amount 4180.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 112
Number Of Medical Services 1951
Number Of Medicare Beneficiaries With Medical Services 461
Total Medical Submitted Charge Amount 557539
Total Medical Medicare Allowed Amount 176978.36
Total Medical Medicare Payment Amount 131361.7
Total Medical Medicare Standardized Payment Amount 134972.21
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 100
Number Of Beneficiaries Age 65 to 74 235
Number Of Beneficiaries Age 75 to 84 83
Number Of Beneficiaries Age Greater 84 43
Number Of Female Beneficiaries 330
Number Of Male Beneficiaries 131
Number Of Non Hispanic White Beneficiaries 293
Number Of Black or African American Beneficiaries 153
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 383
Number Of Beneficiaries With Medicare Medicaid Entitlement 78
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 11
Percent Of With Cancer 9
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 26
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 68
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.3117

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