National Provider Identifier [NPI]: |
1427053339 |
Last Name Of The Provider |
O'BRIEN |
First Name Of The Provider |
DENIS |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3414 OLANDWOOD CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
OLNEY |
Zip Code Of The Provider |
208321384 |
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 |
106 |
Number Of Services |
4682 |
Number Of Medicare Beneficiaries |
707 |
Total Submitted Charge Amount |
1343204.93 |
Total Medicare Allowed Amount |
396602.48 |
Total Medicare Payment Amount |
297130.75 |
Total Medicare Standardized Payment Amount |
269937.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1200 |
Number Of Medicare Beneficiaries With Drug Services |
396 |
Total Drug Submitted ChargeAmount |
141725.56 |
Total Drug Medicare AllowedAmount |
48426.38 |
Total Drug Medicare PaymentAmount |
37627.83 |
Total Drug Medicare Standardized Payment Amount |
37627.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
3482 |
Number Of Medicare Beneficiaries With Medical Services |
707 |
Total Medical Submitted Charge Amount |
1201479.37 |
Total Medical Medicare Allowed Amount |
348176.1 |
Total Medical Medicare Payment Amount |
259502.92 |
Total Medical Medicare Standardized Payment Amount |
232309.61 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
474 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
567 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0563 |