National Provider Identifier [NPI]: |
1497827430 |
Last Name Of The Provider |
WEISS |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 N ROBERTSON BLVD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902112145 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
4913 |
Number Of Medicare Beneficiaries |
961 |
Total Submitted Charge Amount |
961628.02 |
Total Medicare Allowed Amount |
356930.4 |
Total Medicare Payment Amount |
263069.52 |
Total Medicare Standardized Payment Amount |
242138.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1346 |
Number Of Medicare Beneficiaries With Drug Services |
312 |
Total Drug Submitted ChargeAmount |
58448.02 |
Total Drug Medicare AllowedAmount |
17674.03 |
Total Drug Medicare PaymentAmount |
13851.43 |
Total Drug Medicare Standardized Payment Amount |
13851.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
3567 |
Number Of Medicare Beneficiaries With Medical Services |
961 |
Total Medical Submitted Charge Amount |
903180 |
Total Medical Medicare Allowed Amount |
339256.37 |
Total Medical Medicare Payment Amount |
249218.09 |
Total Medical Medicare Standardized Payment Amount |
228287.04 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
418 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
602 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
867 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
916 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0835 |