National Provider Identifier [NPI]: |
1427153089 |
Last Name Of The Provider |
JOVE |
First Name Of The Provider |
MAURICE |
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 |
2801 N DECATUR RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
300335949 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
4263 |
Number Of Medicare Beneficiaries |
676 |
Total Submitted Charge Amount |
4740903.5 |
Total Medicare Allowed Amount |
433924.57 |
Total Medicare Payment Amount |
322661.6 |
Total Medicare Standardized Payment Amount |
333099.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
594 |
Number Of Medicare Beneficiaries With Drug Services |
354 |
Total Drug Submitted ChargeAmount |
12440 |
Total Drug Medicare AllowedAmount |
3481.6 |
Total Drug Medicare PaymentAmount |
2663.53 |
Total Drug Medicare Standardized Payment Amount |
2663.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
3669 |
Number Of Medicare Beneficiaries With Medical Services |
676 |
Total Medical Submitted Charge Amount |
4728463.5 |
Total Medical Medicare Allowed Amount |
430442.97 |
Total Medical Medicare Payment Amount |
319998.07 |
Total Medical Medicare Standardized Payment Amount |
330435.78 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
191 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1235 |