National Provider Identifier [NPI]: |
1669478038 |
Last Name Of The Provider |
GIRARD |
First Name Of The Provider |
PIERRE |
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 |
621 SE PORT ST LUCIE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT ST LUCIE |
Zip Code Of The Provider |
349845141 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1104 |
Number Of Medicare Beneficiaries |
111 |
Total Submitted Charge Amount |
151361 |
Total Medicare Allowed Amount |
55868.14 |
Total Medicare Payment Amount |
41782.86 |
Total Medicare Standardized Payment Amount |
40774.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
143 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
12410 |
Total Drug Medicare AllowedAmount |
7090.71 |
Total Drug Medicare PaymentAmount |
5555.21 |
Total Drug Medicare Standardized Payment Amount |
5555.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
961 |
Number Of Medicare Beneficiaries With Medical Services |
111 |
Total Medical Submitted Charge Amount |
138951 |
Total Medical Medicare Allowed Amount |
48777.43 |
Total Medical Medicare Payment Amount |
36227.65 |
Total Medical Medicare Standardized Payment Amount |
35219.13 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
54 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
67 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
61 |
Number Of Black or African American Beneficiaries |
32 |
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 |
65 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0422 |