National Provider Identifier [NPI]: |
1811183676 |
Last Name Of The Provider |
FERNYHOUGH |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1905 CLINT MOORE RD |
Street Address 2 Of The Provider |
SUITE 309 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334962658 |
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 |
80 |
Number Of Services |
21714 |
Number Of Medicare Beneficiaries |
1491 |
Total Submitted Charge Amount |
9318945 |
Total Medicare Allowed Amount |
2727538.04 |
Total Medicare Payment Amount |
2116887.38 |
Total Medicare Standardized Payment Amount |
2001025.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1956 |
Number Of Medicare Beneficiaries With Drug Services |
738 |
Total Drug Submitted ChargeAmount |
39120 |
Total Drug Medicare AllowedAmount |
11187.25 |
Total Drug Medicare PaymentAmount |
8757.87 |
Total Drug Medicare Standardized Payment Amount |
8757.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
19758 |
Number Of Medicare Beneficiaries With Medical Services |
1491 |
Total Medical Submitted Charge Amount |
9279825 |
Total Medical Medicare Allowed Amount |
2716350.79 |
Total Medical Medicare Payment Amount |
2108129.51 |
Total Medical Medicare Standardized Payment Amount |
1992268.02 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
421 |
Number Of Beneficiaries Age 75 to 84 |
570 |
Number Of Beneficiaries Age Greater 84 |
453 |
Number Of Female Beneficiaries |
889 |
Number Of Male Beneficiaries |
602 |
Number Of Non Hispanic White Beneficiaries |
1433 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4453 |