National Provider Identifier [NPI]: |
1932271970 |
Last Name Of The Provider |
SNIBBE |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 SOUTH SPALDING DRIVE |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
90212 |
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 |
81 |
Number Of Services |
6764 |
Number Of Medicare Beneficiaries |
677 |
Total Submitted Charge Amount |
1095146.64 |
Total Medicare Allowed Amount |
467934.64 |
Total Medicare Payment Amount |
354859.66 |
Total Medicare Standardized Payment Amount |
329747.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3818 |
Number Of Medicare Beneficiaries With Drug Services |
247 |
Total Drug Submitted ChargeAmount |
70578.87 |
Total Drug Medicare AllowedAmount |
44769.96 |
Total Drug Medicare PaymentAmount |
34531.58 |
Total Drug Medicare Standardized Payment Amount |
34531.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
2946 |
Number Of Medicare Beneficiaries With Medical Services |
677 |
Total Medical Submitted Charge Amount |
1024567.77 |
Total Medical Medicare Allowed Amount |
423164.68 |
Total Medical Medicare Payment Amount |
320328.08 |
Total Medical Medicare Standardized Payment Amount |
295216.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
549 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1437 |