National Provider Identifier [NPI]: |
1770556664 |
Last Name Of The Provider |
BULMAN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
143 LONGWATER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORWELL |
Zip Code Of The Provider |
020611683 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
2167 |
Number Of Medicare Beneficiaries |
356 |
Total Submitted Charge Amount |
505878 |
Total Medicare Allowed Amount |
164368.7 |
Total Medicare Payment Amount |
123731.81 |
Total Medicare Standardized Payment Amount |
120812.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
859 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
149418 |
Total Drug Medicare AllowedAmount |
39000.16 |
Total Drug Medicare PaymentAmount |
30430.84 |
Total Drug Medicare Standardized Payment Amount |
30430.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
1308 |
Number Of Medicare Beneficiaries With Medical Services |
356 |
Total Medical Submitted Charge Amount |
356460 |
Total Medical Medicare Allowed Amount |
125368.54 |
Total Medical Medicare Payment Amount |
93300.97 |
Total Medical Medicare Standardized Payment Amount |
90382.12 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
229 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
344 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0438 |