National Provider Identifier [NPI]: |
1518909696 |
Last Name Of The Provider |
MAAS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14655 GALAXIE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
APPLE VALLEY |
Zip Code Of The Provider |
551248575 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
1806 |
Number Of Medicare Beneficiaries |
285 |
Total Submitted Charge Amount |
116577 |
Total Medicare Allowed Amount |
55212.99 |
Total Medicare Payment Amount |
39880.69 |
Total Medicare Standardized Payment Amount |
41158.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
3933 |
Total Drug Medicare AllowedAmount |
2398.84 |
Total Drug Medicare PaymentAmount |
2170.79 |
Total Drug Medicare Standardized Payment Amount |
2170.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
1652 |
Number Of Medicare Beneficiaries With Medical Services |
285 |
Total Medical Submitted Charge Amount |
112644 |
Total Medical Medicare Allowed Amount |
52814.15 |
Total Medical Medicare Payment Amount |
37709.9 |
Total Medical Medicare Standardized Payment Amount |
38987.97 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
148 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
254 |
Number Of Black or African American Beneficiaries |
15 |
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 |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
27 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1813 |