National Provider Identifier [NPI]: |
1700096393 |
Last Name Of The Provider |
NINH |
First Name Of The Provider |
CHRISTOPHER |
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 |
11190 WARNER AVE STE 306 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FOUNTAIN VALLEY |
Zip Code Of The Provider |
927084047 |
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 |
87 |
Number Of Services |
2626 |
Number Of Medicare Beneficiaries |
323 |
Total Submitted Charge Amount |
813087.7 |
Total Medicare Allowed Amount |
299265.85 |
Total Medicare Payment Amount |
228535 |
Total Medicare Standardized Payment Amount |
208084.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
277 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
45367 |
Total Drug Medicare AllowedAmount |
22076.5 |
Total Drug Medicare PaymentAmount |
17309.07 |
Total Drug Medicare Standardized Payment Amount |
17309.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
2349 |
Number Of Medicare Beneficiaries With Medical Services |
323 |
Total Medical Submitted Charge Amount |
767720.7 |
Total Medical Medicare Allowed Amount |
277189.35 |
Total Medical Medicare Payment Amount |
211225.93 |
Total Medical Medicare Standardized Payment Amount |
190775.41 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
108 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
162 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
61 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
262 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.379 |