National Provider Identifier [NPI]: |
1396793105 |
Last Name Of The Provider |
WEINSTEIN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2446 RESEARCH PKWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809201087 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
5752 |
Number Of Medicare Beneficiaries |
810 |
Total Submitted Charge Amount |
1533102.33 |
Total Medicare Allowed Amount |
546992.22 |
Total Medicare Payment Amount |
416569.2 |
Total Medicare Standardized Payment Amount |
416816.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1790 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
27312 |
Total Drug Medicare AllowedAmount |
8385.49 |
Total Drug Medicare PaymentAmount |
6305.18 |
Total Drug Medicare Standardized Payment Amount |
6305.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3962 |
Number Of Medicare Beneficiaries With Medical Services |
810 |
Total Medical Submitted Charge Amount |
1505790.33 |
Total Medical Medicare Allowed Amount |
538606.73 |
Total Medical Medicare Payment Amount |
410264.02 |
Total Medical Medicare Standardized Payment Amount |
410511.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
453 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
425 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
724 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
763 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8891 |