National Provider Identifier [NPI]: |
1649429853 |
Last Name Of The Provider |
SRIVASTAVA |
First Name Of The Provider |
AJAY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4466 W BRISTOL RD |
Street Address 2 Of The Provider |
FAMILY ORTHOPEDIC ASSOCIATES |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485073170 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
3798 |
Number Of Medicare Beneficiaries |
887 |
Total Submitted Charge Amount |
943002 |
Total Medicare Allowed Amount |
386976.21 |
Total Medicare Payment Amount |
289932.02 |
Total Medicare Standardized Payment Amount |
303116.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
703 |
Number Of Medicare Beneficiaries With Drug Services |
372 |
Total Drug Submitted ChargeAmount |
30598 |
Total Drug Medicare AllowedAmount |
10742.25 |
Total Drug Medicare PaymentAmount |
7243.65 |
Total Drug Medicare Standardized Payment Amount |
7243.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
3095 |
Number Of Medicare Beneficiaries With Medical Services |
887 |
Total Medical Submitted Charge Amount |
912404 |
Total Medical Medicare Allowed Amount |
376233.96 |
Total Medical Medicare Payment Amount |
282688.37 |
Total Medical Medicare Standardized Payment Amount |
295872.59 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
568 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
629 |
Number Of Black or African American Beneficiaries |
227 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
236 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2489 |