National Provider Identifier [NPI]: |
1104850528 |
Last Name Of The Provider |
VINTON |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
59 QUINSIGAMOND AVE |
Street Address 2 Of The Provider |
WORCESTER COUNTY ORTHOPEDICS |
City Of The Provider |
WORCESTER |
Zip Code Of The Provider |
016101806 |
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 |
52 |
Number Of Services |
1527 |
Number Of Medicare Beneficiaries |
293 |
Total Submitted Charge Amount |
619860 |
Total Medicare Allowed Amount |
202529.68 |
Total Medicare Payment Amount |
153889.43 |
Total Medicare Standardized Payment Amount |
151065.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
160 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
21144 |
Total Drug Medicare AllowedAmount |
12802.04 |
Total Drug Medicare PaymentAmount |
10029.01 |
Total Drug Medicare Standardized Payment Amount |
10029.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
1367 |
Number Of Medicare Beneficiaries With Medical Services |
293 |
Total Medical Submitted Charge Amount |
598716 |
Total Medical Medicare Allowed Amount |
189727.64 |
Total Medical Medicare Payment Amount |
143860.42 |
Total Medical Medicare Standardized Payment Amount |
141036.89 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
269 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1139 |