National Provider Identifier [NPI]: |
1124289780 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 YOUNG AVE |
Street Address 2 Of The Provider |
SUITE 245 |
City Of The Provider |
MOORESTOWN |
Zip Code Of The Provider |
080573130 |
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 |
85 |
Number Of Services |
2062 |
Number Of Medicare Beneficiaries |
628 |
Total Submitted Charge Amount |
1219429.39 |
Total Medicare Allowed Amount |
241871.66 |
Total Medicare Payment Amount |
184978.43 |
Total Medicare Standardized Payment Amount |
170426.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
273 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
7730.1 |
Total Drug Medicare AllowedAmount |
4687.95 |
Total Drug Medicare PaymentAmount |
3674.13 |
Total Drug Medicare Standardized Payment Amount |
3674.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
1789 |
Number Of Medicare Beneficiaries With Medical Services |
628 |
Total Medical Submitted Charge Amount |
1211699.29 |
Total Medical Medicare Allowed Amount |
237183.71 |
Total Medical Medicare Payment Amount |
181304.3 |
Total Medical Medicare Standardized Payment Amount |
166752.46 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
400 |
Number Of Male Beneficiaries |
228 |
Number Of Non Hispanic White Beneficiaries |
541 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
576 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2725 |