Medicare Facts for Dr. David W. Dale, DO


National Provider Identifier [NPI]: 1568463925
Last Name Of The Provider DALE
First Name Of The Provider DAVID
Middle Initial Of The Provider W
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1340 S SAM HOUSTON BLVD
Street Address 2 Of The Provider
City Of The Provider HOUSTON
Zip Code Of The Provider 654832045
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 49
Number Of Medicare Beneficiaries 34
Total Submitted Charge Amount 1120
Total Medicare Allowed Amount 307.29
Total Medicare Payment Amount 274.53
Total Medicare Standardized Payment Amount 342.47
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 4
Number Of Medical Services 49
Number Of Medicare Beneficiaries With Medical Services 34
Total Medical Submitted Charge Amount 1120
Total Medical Medicare Allowed Amount 307.29
Total Medical Medicare Payment Amount 274.53
Total Medical Medicare Standardized Payment Amount 342.47
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 13
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 16
Number Of Male Beneficiaries 18
Number Of Non Hispanic White Beneficiaries 34
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 18
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 38
Percent Of With Depression 35
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9097

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