National Provider Identifier [NPI]: |
1639167554 |
Last Name Of The Provider |
BUCHALTER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 QUARRY LAKE DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212092230 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
7186 |
Number Of Medicare Beneficiaries |
584 |
Total Submitted Charge Amount |
668292.1 |
Total Medicare Allowed Amount |
317492.7 |
Total Medicare Payment Amount |
235374.72 |
Total Medicare Standardized Payment Amount |
223706.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4734 |
Number Of Medicare Beneficiaries With Drug Services |
284 |
Total Drug Submitted ChargeAmount |
177307 |
Total Drug Medicare AllowedAmount |
59913.04 |
Total Drug Medicare PaymentAmount |
46481.42 |
Total Drug Medicare Standardized Payment Amount |
46481.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
2452 |
Number Of Medicare Beneficiaries With Medical Services |
584 |
Total Medical Submitted Charge Amount |
490985.1 |
Total Medical Medicare Allowed Amount |
257579.66 |
Total Medical Medicare Payment Amount |
188893.3 |
Total Medical Medicare Standardized Payment Amount |
177225.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
400 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
387 |
Number Of Black or African American Beneficiaries |
176 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9553 |