National Provider Identifier [NPI]: |
1992939151 |
Last Name Of The Provider |
JANCOSKO |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O., M.P.T. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
510 IDLEWILD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EASTON |
Zip Code Of The Provider |
216013881 |
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 |
101 |
Number Of Services |
3733 |
Number Of Medicare Beneficiaries |
536 |
Total Submitted Charge Amount |
493985.8 |
Total Medicare Allowed Amount |
196226.88 |
Total Medicare Payment Amount |
147010.82 |
Total Medicare Standardized Payment Amount |
144080.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2039 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
31040 |
Total Drug Medicare AllowedAmount |
21466.62 |
Total Drug Medicare PaymentAmount |
16740.02 |
Total Drug Medicare Standardized Payment Amount |
16740.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
1694 |
Number Of Medicare Beneficiaries With Medical Services |
536 |
Total Medical Submitted Charge Amount |
462945.8 |
Total Medical Medicare Allowed Amount |
174760.26 |
Total Medical Medicare Payment Amount |
130270.8 |
Total Medical Medicare Standardized Payment Amount |
127340.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
316 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
|
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 |
446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1506 |