National Provider Identifier [NPI]: |
1386683621 |
Last Name Of The Provider |
WOLF |
First Name Of The Provider |
EUGENE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 CALIFORNIA ST |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941152411 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
977 |
Number Of Medicare Beneficiaries |
225 |
Total Submitted Charge Amount |
507573.57 |
Total Medicare Allowed Amount |
153156.04 |
Total Medicare Payment Amount |
116067.8 |
Total Medicare Standardized Payment Amount |
102531.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
151 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
2686 |
Total Drug Medicare AllowedAmount |
442.36 |
Total Drug Medicare PaymentAmount |
345.04 |
Total Drug Medicare Standardized Payment Amount |
345.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
826 |
Number Of Medicare Beneficiaries With Medical Services |
225 |
Total Medical Submitted Charge Amount |
504887.57 |
Total Medical Medicare Allowed Amount |
152713.68 |
Total Medical Medicare Payment Amount |
115722.76 |
Total Medical Medicare Standardized Payment Amount |
102186.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
169 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
27 |
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 |
172 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8362 |