National Provider Identifier [NPI]: |
1205886272 |
Last Name Of The Provider |
LIMBIRD |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 DUDLEY ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PROVIDENCE |
Zip Code Of The Provider |
029053236 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
1426 |
Number Of Medicare Beneficiaries |
538 |
Total Submitted Charge Amount |
962970.82 |
Total Medicare Allowed Amount |
249799.21 |
Total Medicare Payment Amount |
190202.06 |
Total Medicare Standardized Payment Amount |
185873.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
240 |
Total Drug Medicare AllowedAmount |
9.34 |
Total Drug Medicare PaymentAmount |
7.06 |
Total Drug Medicare Standardized Payment Amount |
7.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1410 |
Number Of Medicare Beneficiaries With Medical Services |
538 |
Total Medical Submitted Charge Amount |
962730.82 |
Total Medical Medicare Allowed Amount |
249789.87 |
Total Medical Medicare Payment Amount |
190195 |
Total Medical Medicare Standardized Payment Amount |
185866.22 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
215 |
Number Of Non Hispanic White Beneficiaries |
504 |
Number Of Black or African American Beneficiaries |
16 |
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 |
472 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1301 |