National Provider Identifier [NPI]: |
1932140530 |
Last Name Of The Provider |
DENNIS |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11110 MEDICAL CAMPUS RD |
Street Address 2 Of The Provider |
SUITE 228 |
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217426700 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
6651 |
Number Of Medicare Beneficiaries |
1278 |
Total Submitted Charge Amount |
795027 |
Total Medicare Allowed Amount |
371737.64 |
Total Medicare Payment Amount |
276415.46 |
Total Medicare Standardized Payment Amount |
273666.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2482 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
124384 |
Total Drug Medicare AllowedAmount |
72092.72 |
Total Drug Medicare PaymentAmount |
56378.62 |
Total Drug Medicare Standardized Payment Amount |
56378.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
4169 |
Number Of Medicare Beneficiaries With Medical Services |
1278 |
Total Medical Submitted Charge Amount |
670643 |
Total Medical Medicare Allowed Amount |
299644.92 |
Total Medical Medicare Payment Amount |
220036.84 |
Total Medical Medicare Standardized Payment Amount |
217288.33 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
516 |
Number Of Beneficiaries Age 75 to 84 |
453 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
460 |
Number Of Male Beneficiaries |
818 |
Number Of Non Hispanic White Beneficiaries |
1227 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1135 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3019 |