National Provider Identifier [NPI]: |
1831188085 |
Last Name Of The Provider |
DAS |
First Name Of The Provider |
TITU |
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 |
11660 ALPHARETTA HWY |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
ROSWELL |
Zip Code Of The Provider |
300764943 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
186982 |
Number Of Medicare Beneficiaries |
348 |
Total Submitted Charge Amount |
1281598.02 |
Total Medicare Allowed Amount |
768650.21 |
Total Medicare Payment Amount |
588426.41 |
Total Medicare Standardized Payment Amount |
591287.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
35 |
Number Of Drug Services |
183137 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
848626.86 |
Total Drug Medicare AllowedAmount |
514388.7 |
Total Drug Medicare PaymentAmount |
395414.43 |
Total Drug Medicare Standardized Payment Amount |
395414.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3845 |
Number Of Medicare Beneficiaries With Medical Services |
348 |
Total Medical Submitted Charge Amount |
432971.16 |
Total Medical Medicare Allowed Amount |
254261.51 |
Total Medical Medicare Payment Amount |
193011.98 |
Total Medical Medicare Standardized Payment Amount |
195872.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
284 |
Number Of Black or African American Beneficiaries |
35 |
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 |
283 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.301 |