National Provider Identifier [NPI]: |
1518076561 |
Last Name Of The Provider |
COLE |
First Name Of The Provider |
FREDERICK |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1004 HADDONFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHERRY HILL |
Zip Code Of The Provider |
080022746 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
1838 |
Number Of Medicare Beneficiaries |
416 |
Total Submitted Charge Amount |
540590.31 |
Total Medicare Allowed Amount |
170881.7 |
Total Medicare Payment Amount |
130364.41 |
Total Medicare Standardized Payment Amount |
121897.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
807 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
28937.3 |
Total Drug Medicare AllowedAmount |
17539.51 |
Total Drug Medicare PaymentAmount |
13716.29 |
Total Drug Medicare Standardized Payment Amount |
13716.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
1031 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
511653.01 |
Total Medical Medicare Allowed Amount |
153342.19 |
Total Medical Medicare Payment Amount |
116648.12 |
Total Medical Medicare Standardized Payment Amount |
108181.56 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
313 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
291 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5736 |