National Provider Identifier [NPI]: |
1285899039 |
Last Name Of The Provider |
FINCHAM |
First Name Of The Provider |
BRYCE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2030 STRINGTOWN RD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
GROVE CITY |
Zip Code Of The Provider |
431233993 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
1024 |
Number Of Medicare Beneficiaries |
147 |
Total Submitted Charge Amount |
193538 |
Total Medicare Allowed Amount |
64222.95 |
Total Medicare Payment Amount |
47806.17 |
Total Medicare Standardized Payment Amount |
50748.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
479 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
8111 |
Total Drug Medicare AllowedAmount |
4317.02 |
Total Drug Medicare PaymentAmount |
3364.69 |
Total Drug Medicare Standardized Payment Amount |
3364.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
545 |
Number Of Medicare Beneficiaries With Medical Services |
147 |
Total Medical Submitted Charge Amount |
185427 |
Total Medical Medicare Allowed Amount |
59905.93 |
Total Medical Medicare Payment Amount |
44441.48 |
Total Medical Medicare Standardized Payment Amount |
47384.02 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
47 |
Number Of Beneficiaries Age 75 to 84 |
22 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
127 |
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 |
91 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4635 |