National Provider Identifier [NPI]: |
1982677910 |
Last Name Of The Provider |
COSTA |
First Name Of The Provider |
ANTHONY |
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 |
80 OAK HILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
RED BANK |
Zip Code Of The Provider |
077015727 |
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 |
113 |
Number Of Services |
12967 |
Number Of Medicare Beneficiaries |
1076 |
Total Submitted Charge Amount |
7574116 |
Total Medicare Allowed Amount |
724929.3 |
Total Medicare Payment Amount |
560655.46 |
Total Medicare Standardized Payment Amount |
520580.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7660 |
Number Of Medicare Beneficiaries With Drug Services |
479 |
Total Drug Submitted ChargeAmount |
238270 |
Total Drug Medicare AllowedAmount |
87824.81 |
Total Drug Medicare PaymentAmount |
68747.99 |
Total Drug Medicare Standardized Payment Amount |
68747.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
5307 |
Number Of Medicare Beneficiaries With Medical Services |
1076 |
Total Medical Submitted Charge Amount |
7335846 |
Total Medical Medicare Allowed Amount |
637104.49 |
Total Medical Medicare Payment Amount |
491907.47 |
Total Medical Medicare Standardized Payment Amount |
451832.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
517 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
712 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
972 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
996 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1145 |