National Provider Identifier [NPI]: |
1255360186 |
Last Name Of The Provider |
CHAROGLU |
First Name Of The Provider |
CONSTANTINE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D., |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3688 VETERANS MEMORIAL DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394018246 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
177 |
Number Of Services |
3255 |
Number Of Medicare Beneficiaries |
769 |
Total Submitted Charge Amount |
1144993.97 |
Total Medicare Allowed Amount |
279856.74 |
Total Medicare Payment Amount |
207190.58 |
Total Medicare Standardized Payment Amount |
231372.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
842 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
42700.22 |
Total Drug Medicare AllowedAmount |
19734.7 |
Total Drug Medicare PaymentAmount |
13346.51 |
Total Drug Medicare Standardized Payment Amount |
13346.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
2413 |
Number Of Medicare Beneficiaries With Medical Services |
769 |
Total Medical Submitted Charge Amount |
1102293.75 |
Total Medical Medicare Allowed Amount |
260122.04 |
Total Medical Medicare Payment Amount |
193844.07 |
Total Medical Medicare Standardized Payment Amount |
218026.08 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
332 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
313 |
Number Of Non Hispanic White Beneficiaries |
625 |
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 |
554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0849 |