National Provider Identifier [NPI]: |
1164461406 |
Last Name Of The Provider |
STOLARSKI |
First Name Of The Provider |
EDWARD |
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 |
6050 CATTLERIDGE BLVD STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326028 |
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 |
110 |
Number Of Services |
18765 |
Number Of Medicare Beneficiaries |
2125 |
Total Submitted Charge Amount |
3657063.45 |
Total Medicare Allowed Amount |
1480615.55 |
Total Medicare Payment Amount |
1122189.89 |
Total Medicare Standardized Payment Amount |
1087390.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
6590 |
Number Of Medicare Beneficiaries With Drug Services |
683 |
Total Drug Submitted ChargeAmount |
128129 |
Total Drug Medicare AllowedAmount |
72788.39 |
Total Drug Medicare PaymentAmount |
56139.26 |
Total Drug Medicare Standardized Payment Amount |
56139.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
12175 |
Number Of Medicare Beneficiaries With Medical Services |
2125 |
Total Medical Submitted Charge Amount |
3528934.45 |
Total Medical Medicare Allowed Amount |
1407827.16 |
Total Medical Medicare Payment Amount |
1066050.63 |
Total Medical Medicare Standardized Payment Amount |
1031250.94 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
1057 |
Number Of Beneficiaries Age 75 to 84 |
792 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
1240 |
Number Of Male Beneficiaries |
885 |
Number Of Non Hispanic White Beneficiaries |
2047 |
Number Of Black or African American Beneficiaries |
22 |
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 |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2051 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0464 |