National Provider Identifier [NPI]: |
1013944859 |
Last Name Of The Provider |
NAZARIAN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 SPRUCE ST |
Street Address 2 Of The Provider |
1 CATHCART |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191076130 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
6176 |
Number Of Medicare Beneficiaries |
983 |
Total Submitted Charge Amount |
2700262 |
Total Medicare Allowed Amount |
759446.58 |
Total Medicare Payment Amount |
579054.56 |
Total Medicare Standardized Payment Amount |
523885.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3535 |
Number Of Medicare Beneficiaries With Drug Services |
365 |
Total Drug Submitted ChargeAmount |
96222 |
Total Drug Medicare AllowedAmount |
39110.82 |
Total Drug Medicare PaymentAmount |
30480.32 |
Total Drug Medicare Standardized Payment Amount |
30480.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2641 |
Number Of Medicare Beneficiaries With Medical Services |
983 |
Total Medical Submitted Charge Amount |
2604040 |
Total Medical Medicare Allowed Amount |
720335.76 |
Total Medical Medicare Payment Amount |
548574.24 |
Total Medical Medicare Standardized Payment Amount |
493405.16 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
486 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
632 |
Number Of Male Beneficiaries |
351 |
Number Of Non Hispanic White Beneficiaries |
766 |
Number Of Black or African American Beneficiaries |
170 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
15 |
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 |
837 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.166 |