National Provider Identifier [NPI]: |
1508812272 |
Last Name Of The Provider |
BASH |
First Name Of The Provider |
EVAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
ONE MEDICAL CTR BLVD |
Street Address 2 Of The Provider |
CCMC POB II STE 324 |
City Of The Provider |
UPLAND |
Zip Code Of The Provider |
19013 |
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 |
121 |
Number Of Services |
3575 |
Number Of Medicare Beneficiaries |
513 |
Total Submitted Charge Amount |
429438 |
Total Medicare Allowed Amount |
203472.19 |
Total Medicare Payment Amount |
154835.04 |
Total Medicare Standardized Payment Amount |
146886.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2324 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
46330 |
Total Drug Medicare AllowedAmount |
28831.82 |
Total Drug Medicare PaymentAmount |
22445.95 |
Total Drug Medicare Standardized Payment Amount |
22445.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
1251 |
Number Of Medicare Beneficiaries With Medical Services |
513 |
Total Medical Submitted Charge Amount |
383108 |
Total Medical Medicare Allowed Amount |
174640.37 |
Total Medical Medicare Payment Amount |
132389.09 |
Total Medical Medicare Standardized Payment Amount |
124440.08 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
357 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
107 |
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 |
329 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3894 |