Medicare Facts for Dr. Daniel J. Clark, DDS


National Provider Identifier [NPI]: 1851397004
Last Name Of The Provider CLARK
First Name Of The Provider DANIEL
Middle Initial Of The Provider
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 9500 EUCLID AVE
Street Address 2 Of The Provider
City Of The Provider CLEVELAND
Zip Code Of The Provider 441950001
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 41
Number Of Services 467
Number Of Medicare Beneficiaries 390
Total Submitted Charge Amount 205629.4
Total Medicare Allowed Amount 37258.16
Total Medicare Payment Amount 28152.89
Total Medicare Standardized Payment Amount 28240.83
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 41
Number Of Medical Services 467
Number Of Medicare Beneficiaries With Medical Services 390
Total Medical Submitted Charge Amount 205629.4
Total Medical Medicare Allowed Amount 37258.16
Total Medical Medicare Payment Amount 28152.89
Total Medical Medicare Standardized Payment Amount 28240.83
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 178
Number Of Beneficiaries Age 75 to 84 136
Number Of Beneficiaries Age Greater 84 41
Number Of Female Beneficiaries 212
Number Of Male Beneficiaries 178
Number Of Non Hispanic White Beneficiaries 346
Number Of Black or African American Beneficiaries 20
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 13
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 344
Number Of Beneficiaries With Medicare Medicaid Entitlement 46
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 13
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 25
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1389

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