National Provider Identifier [NPI]: |
1851352298 |
Last Name Of The Provider |
EDWARDS |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11110 MEDICAL CAMPUS RD |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217426700 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
5388 |
Number Of Medicare Beneficiaries |
718 |
Total Submitted Charge Amount |
1276787.06 |
Total Medicare Allowed Amount |
356968.22 |
Total Medicare Payment Amount |
270568.41 |
Total Medicare Standardized Payment Amount |
269129.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2035 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
135624.72 |
Total Drug Medicare AllowedAmount |
46707.1 |
Total Drug Medicare PaymentAmount |
36168.03 |
Total Drug Medicare Standardized Payment Amount |
36168.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
3353 |
Number Of Medicare Beneficiaries With Medical Services |
718 |
Total Medical Submitted Charge Amount |
1141162.34 |
Total Medical Medicare Allowed Amount |
310261.12 |
Total Medical Medicare Payment Amount |
234400.38 |
Total Medical Medicare Standardized Payment Amount |
232961.03 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
667 |
Number Of Black or African American Beneficiaries |
30 |
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 |
559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3223 |