National Provider Identifier [NPI]: |
1457590457 |
Last Name Of The Provider |
BEDIKIAN |
First Name Of The Provider |
SARKIS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10330 S ROBERTS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALOS HILLS |
Zip Code Of The Provider |
604651971 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
867 |
Number Of Medicare Beneficiaries |
297 |
Total Submitted Charge Amount |
521370 |
Total Medicare Allowed Amount |
200079.12 |
Total Medicare Payment Amount |
149274.55 |
Total Medicare Standardized Payment Amount |
138170.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
90 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
13154 |
Total Drug Medicare AllowedAmount |
2860.97 |
Total Drug Medicare PaymentAmount |
2243 |
Total Drug Medicare Standardized Payment Amount |
2243 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
777 |
Number Of Medicare Beneficiaries With Medical Services |
297 |
Total Medical Submitted Charge Amount |
508216 |
Total Medical Medicare Allowed Amount |
197218.15 |
Total Medical Medicare Payment Amount |
147031.55 |
Total Medical Medicare Standardized Payment Amount |
135927.86 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
142 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
148 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0993 |