National Provider Identifier [NPI]: |
1649392549 |
Last Name Of The Provider |
OBMA |
First Name Of The Provider |
PADRAIC |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2660 10TH AVE S |
Street Address 2 Of The Provider |
SUITE 505 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051605 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
1079 |
Number Of Medicare Beneficiaries |
201 |
Total Submitted Charge Amount |
692965 |
Total Medicare Allowed Amount |
93465.97 |
Total Medicare Payment Amount |
71486.46 |
Total Medicare Standardized Payment Amount |
75818.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
542 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
10135.75 |
Total Drug Medicare AllowedAmount |
4436.83 |
Total Drug Medicare PaymentAmount |
3481.91 |
Total Drug Medicare Standardized Payment Amount |
3481.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
537 |
Number Of Medicare Beneficiaries With Medical Services |
201 |
Total Medical Submitted Charge Amount |
682829.25 |
Total Medical Medicare Allowed Amount |
89029.14 |
Total Medical Medicare Payment Amount |
68004.55 |
Total Medical Medicare Standardized Payment Amount |
72336.79 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
82 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
128 |
Number Of Male Beneficiaries |
73 |
Number Of Non Hispanic White Beneficiaries |
180 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
159 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9169 |