National Provider Identifier [NPI]: |
1003881632 |
Last Name Of The Provider |
DIMOND |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
360 GIFFORD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FALMOUTH |
Zip Code Of The Provider |
025402912 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
6271 |
Number Of Medicare Beneficiaries |
1307 |
Total Submitted Charge Amount |
2002657 |
Total Medicare Allowed Amount |
562392.95 |
Total Medicare Payment Amount |
431634.55 |
Total Medicare Standardized Payment Amount |
422113.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1003 |
Number Of Medicare Beneficiaries With Drug Services |
549 |
Total Drug Submitted ChargeAmount |
134130 |
Total Drug Medicare AllowedAmount |
51915.19 |
Total Drug Medicare PaymentAmount |
40294.6 |
Total Drug Medicare Standardized Payment Amount |
40294.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
5268 |
Number Of Medicare Beneficiaries With Medical Services |
1307 |
Total Medical Submitted Charge Amount |
1868527 |
Total Medical Medicare Allowed Amount |
510477.76 |
Total Medical Medicare Payment Amount |
391339.95 |
Total Medical Medicare Standardized Payment Amount |
381818.53 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
485 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
845 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
1248 |
Number Of Black or African American Beneficiaries |
13 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1205 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0413 |