National Provider Identifier [NPI]: |
1861715914 |
Last Name Of The Provider |
PALMER |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1307 FEDERAL ST |
Street Address 2 Of The Provider |
SECOND FLOOR |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152124769 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
751 |
Number Of Medicare Beneficiaries |
138 |
Total Submitted Charge Amount |
194610 |
Total Medicare Allowed Amount |
61788.26 |
Total Medicare Payment Amount |
44977.14 |
Total Medicare Standardized Payment Amount |
48272.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
207 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
12659 |
Total Drug Medicare AllowedAmount |
4101.62 |
Total Drug Medicare PaymentAmount |
3200.72 |
Total Drug Medicare Standardized Payment Amount |
3200.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
544 |
Number Of Medicare Beneficiaries With Medical Services |
138 |
Total Medical Submitted Charge Amount |
181951 |
Total Medical Medicare Allowed Amount |
57686.64 |
Total Medical Medicare Payment Amount |
41776.42 |
Total Medical Medicare Standardized Payment Amount |
45072.25 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
58 |
Number Of Beneficiaries Age 75 to 84 |
24 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
90 |
Number Of Male Beneficiaries |
48 |
Number Of Non Hispanic White Beneficiaries |
121 |
Number Of Black or African American Beneficiaries |
|
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 |
96 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3113 |