National Provider Identifier [NPI]: |
1346307964 |
Last Name Of The Provider |
PARENT |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 8TH ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025519 |
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 |
160 |
Number Of Services |
4376 |
Number Of Medicare Beneficiaries |
1336 |
Total Submitted Charge Amount |
1417581.77 |
Total Medicare Allowed Amount |
661936.42 |
Total Medicare Payment Amount |
497837.76 |
Total Medicare Standardized Payment Amount |
465981.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
892 |
Number Of Medicare Beneficiaries With Drug Services |
526 |
Total Drug Submitted ChargeAmount |
25715.55 |
Total Drug Medicare AllowedAmount |
12794.01 |
Total Drug Medicare PaymentAmount |
9940.36 |
Total Drug Medicare Standardized Payment Amount |
9940.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
3484 |
Number Of Medicare Beneficiaries With Medical Services |
1336 |
Total Medical Submitted Charge Amount |
1391866.22 |
Total Medical Medicare Allowed Amount |
649142.41 |
Total Medical Medicare Payment Amount |
487897.4 |
Total Medical Medicare Standardized Payment Amount |
456041.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
598 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
794 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
1266 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1233 |