National Provider Identifier [NPI]: |
1710970322 |
Last Name Of The Provider |
ACKERMAN |
First Name Of The Provider |
GARY |
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 |
4440 BEACON CIR |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334073243 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
5964 |
Number Of Medicare Beneficiaries |
431 |
Total Submitted Charge Amount |
1776992.4 |
Total Medicare Allowed Amount |
462038.44 |
Total Medicare Payment Amount |
345467.93 |
Total Medicare Standardized Payment Amount |
321266.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
788 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
51911.4 |
Total Drug Medicare AllowedAmount |
21612.88 |
Total Drug Medicare PaymentAmount |
16917.26 |
Total Drug Medicare Standardized Payment Amount |
16917.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
5176 |
Number Of Medicare Beneficiaries With Medical Services |
431 |
Total Medical Submitted Charge Amount |
1725081 |
Total Medical Medicare Allowed Amount |
440425.56 |
Total Medical Medicare Payment Amount |
328550.67 |
Total Medical Medicare Standardized Payment Amount |
304349.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
18 |
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 |
420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0982 |