National Provider Identifier [NPI]: |
1962486977 |
Last Name Of The Provider |
ROBERTS |
First Name Of The Provider |
WILLIAM |
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 |
341 GREENO RD N |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAIRHOPE |
Zip Code Of The Provider |
365322979 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
3364 |
Number Of Medicare Beneficiaries |
819 |
Total Submitted Charge Amount |
1123969 |
Total Medicare Allowed Amount |
368416.38 |
Total Medicare Payment Amount |
277231.49 |
Total Medicare Standardized Payment Amount |
302748.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
455 |
Number Of Medicare Beneficiaries With Drug Services |
216 |
Total Drug Submitted ChargeAmount |
27526 |
Total Drug Medicare AllowedAmount |
13213.99 |
Total Drug Medicare PaymentAmount |
10194.94 |
Total Drug Medicare Standardized Payment Amount |
10194.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
162 |
Number Of Medical Services |
2909 |
Number Of Medicare Beneficiaries With Medical Services |
819 |
Total Medical Submitted Charge Amount |
1096443 |
Total Medical Medicare Allowed Amount |
355202.39 |
Total Medical Medicare Payment Amount |
267036.55 |
Total Medical Medicare Standardized Payment Amount |
292553.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
484 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
777 |
Number Of Black or African American Beneficiaries |
26 |
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 |
741 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1893 |