National Provider Identifier [NPI]: |
1295919744 |
Last Name Of The Provider |
RICHER |
First Name Of The Provider |
ROSS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
75 KINGS HIGHWAY CUTOFF |
Street Address 2 Of The Provider |
ORTHPAEDIC SPECIALTY GROUP, PC |
City Of The Provider |
FAIRFIELD |
Zip Code Of The Provider |
06824 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
1736.5 |
Number Of Medicare Beneficiaries |
300 |
Total Submitted Charge Amount |
376435 |
Total Medicare Allowed Amount |
128735.3 |
Total Medicare Payment Amount |
95929.79 |
Total Medicare Standardized Payment Amount |
90319.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
721.5 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
14924 |
Total Drug Medicare AllowedAmount |
11716.91 |
Total Drug Medicare PaymentAmount |
9178.44 |
Total Drug Medicare Standardized Payment Amount |
9178.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
1015 |
Number Of Medicare Beneficiaries With Medical Services |
300 |
Total Medical Submitted Charge Amount |
361511 |
Total Medical Medicare Allowed Amount |
117018.39 |
Total Medical Medicare Payment Amount |
86751.35 |
Total Medical Medicare Standardized Payment Amount |
81140.57 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
257 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1379 |