National Provider Identifier [NPI]: |
1285629568 |
Last Name Of The Provider |
COLE |
First Name Of The Provider |
J |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 N ORANGE AVE |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328044603 |
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 |
205 |
Number Of Services |
5413 |
Number Of Medicare Beneficiaries |
881 |
Total Submitted Charge Amount |
4130791 |
Total Medicare Allowed Amount |
1074316.95 |
Total Medicare Payment Amount |
824158.98 |
Total Medicare Standardized Payment Amount |
815676.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
94 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
920 |
Total Drug Medicare AllowedAmount |
165.85 |
Total Drug Medicare PaymentAmount |
125.78 |
Total Drug Medicare Standardized Payment Amount |
125.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
203 |
Number Of Medical Services |
5319 |
Number Of Medicare Beneficiaries With Medical Services |
881 |
Total Medical Submitted Charge Amount |
4129871 |
Total Medical Medicare Allowed Amount |
1074151.1 |
Total Medical Medicare Payment Amount |
824033.2 |
Total Medical Medicare Standardized Payment Amount |
815550.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
406 |
Number Of Beneficiaries Age 75 to 84 |
315 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
367 |
Number Of Non Hispanic White Beneficiaries |
786 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
814 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3419 |