National Provider Identifier [NPI]: |
1548247604 |
Last Name Of The Provider |
GITTINGER |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6115 POWERS BLVD |
Street Address 2 Of The Provider |
STE. 100 |
City Of The Provider |
PARMA |
Zip Code Of The Provider |
441295471 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
3918 |
Number Of Medicare Beneficiaries |
748 |
Total Submitted Charge Amount |
606264.2 |
Total Medicare Allowed Amount |
196346.12 |
Total Medicare Payment Amount |
139568.09 |
Total Medicare Standardized Payment Amount |
141506.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
844 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
39060 |
Total Drug Medicare AllowedAmount |
20303.23 |
Total Drug Medicare PaymentAmount |
15835.79 |
Total Drug Medicare Standardized Payment Amount |
15835.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
3074 |
Number Of Medicare Beneficiaries With Medical Services |
748 |
Total Medical Submitted Charge Amount |
567204.2 |
Total Medical Medicare Allowed Amount |
176042.89 |
Total Medical Medicare Payment Amount |
123732.3 |
Total Medical Medicare Standardized Payment Amount |
125670.55 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
286 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
485 |
Number Of Male Beneficiaries |
263 |
Number Of Non Hispanic White Beneficiaries |
719 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
708 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1975 |