National Provider Identifier [NPI]: |
1730161084 |
Last Name Of The Provider |
BOGDAN |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
457 JACK MARTIN BOULEVARD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRICK |
Zip Code Of The Provider |
08724 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
8034 |
Number Of Medicare Beneficiaries |
1142 |
Total Submitted Charge Amount |
3362223 |
Total Medicare Allowed Amount |
682889.25 |
Total Medicare Payment Amount |
516710.75 |
Total Medicare Standardized Payment Amount |
478853.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2800 |
Number Of Medicare Beneficiaries With Drug Services |
473 |
Total Drug Submitted ChargeAmount |
180650 |
Total Drug Medicare AllowedAmount |
83378.42 |
Total Drug Medicare PaymentAmount |
64719.02 |
Total Drug Medicare Standardized Payment Amount |
64719.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
5234 |
Number Of Medicare Beneficiaries With Medical Services |
1133 |
Total Medical Submitted Charge Amount |
3181573 |
Total Medical Medicare Allowed Amount |
599510.83 |
Total Medical Medicare Payment Amount |
451991.73 |
Total Medical Medicare Standardized Payment Amount |
414134.32 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
463 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
772 |
Number Of Male Beneficiaries |
370 |
Number Of Non Hispanic White Beneficiaries |
1104 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
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 |
1.0997 |