National Provider Identifier [NPI]: |
1881689206 |
Last Name Of The Provider |
ONG |
First Name Of The Provider |
BERNARD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8551 W LAKE MEAD BLVD |
Street Address 2 Of The Provider |
SUITE 251 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
89128 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
12124 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
2595819 |
Total Medicare Allowed Amount |
595840.86 |
Total Medicare Payment Amount |
438276.37 |
Total Medicare Standardized Payment Amount |
438002.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
7760 |
Number Of Medicare Beneficiaries With Drug Services |
440 |
Total Drug Submitted ChargeAmount |
210482 |
Total Drug Medicare AllowedAmount |
106619.49 |
Total Drug Medicare PaymentAmount |
80502.72 |
Total Drug Medicare Standardized Payment Amount |
80502.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
4364 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
2385337 |
Total Medical Medicare Allowed Amount |
489221.37 |
Total Medical Medicare Payment Amount |
357773.65 |
Total Medical Medicare Standardized Payment Amount |
357499.79 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
431 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
545 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
662 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
755 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.023 |