National Provider Identifier [NPI]: |
1275542623 |
Last Name Of The Provider |
WOLENSKI |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
457 JACK MARTIN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRICK |
Zip Code Of The Provider |
087247776 |
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 |
106 |
Number Of Services |
3763 |
Number Of Medicare Beneficiaries |
641 |
Total Submitted Charge Amount |
809455 |
Total Medicare Allowed Amount |
264736.33 |
Total Medicare Payment Amount |
197531.23 |
Total Medicare Standardized Payment Amount |
189079.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1668 |
Number Of Medicare Beneficiaries With Drug Services |
256 |
Total Drug Submitted ChargeAmount |
97383 |
Total Drug Medicare AllowedAmount |
43657.24 |
Total Drug Medicare PaymentAmount |
33449.74 |
Total Drug Medicare Standardized Payment Amount |
33449.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
2095 |
Number Of Medicare Beneficiaries With Medical Services |
615 |
Total Medical Submitted Charge Amount |
712072 |
Total Medical Medicare Allowed Amount |
221079.09 |
Total Medical Medicare Payment Amount |
164081.49 |
Total Medical Medicare Standardized Payment Amount |
155629.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
433 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
612 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
617 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1108 |