National Provider Identifier [NPI]: |
1740266337 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1280 CREEKSIDE ST |
Street Address 2 Of The Provider |
#101 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341081948 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
783 |
Number Of Medicare Beneficiaries |
223 |
Total Submitted Charge Amount |
304120 |
Total Medicare Allowed Amount |
86139.22 |
Total Medicare Payment Amount |
62157.97 |
Total Medicare Standardized Payment Amount |
58649.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
5390 |
Total Drug Medicare AllowedAmount |
825.11 |
Total Drug Medicare PaymentAmount |
610.04 |
Total Drug Medicare Standardized Payment Amount |
610.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
629 |
Number Of Medicare Beneficiaries With Medical Services |
223 |
Total Medical Submitted Charge Amount |
298730 |
Total Medical Medicare Allowed Amount |
85314.11 |
Total Medical Medicare Payment Amount |
61547.93 |
Total Medical Medicare Standardized Payment Amount |
58039.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
190 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
200 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1039 |