National Provider Identifier [NPI]: |
1619975174 |
Last Name Of The Provider |
STELMACH |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11 FAIRLANE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
READING |
Zip Code Of The Provider |
196069567 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
7428 |
Number Of Medicare Beneficiaries |
683 |
Total Submitted Charge Amount |
1444038.5 |
Total Medicare Allowed Amount |
382457.48 |
Total Medicare Payment Amount |
290234.59 |
Total Medicare Standardized Payment Amount |
301122.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5002 |
Number Of Medicare Beneficiaries With Drug Services |
219 |
Total Drug Submitted ChargeAmount |
67213 |
Total Drug Medicare AllowedAmount |
25513.76 |
Total Drug Medicare PaymentAmount |
19540.43 |
Total Drug Medicare Standardized Payment Amount |
19540.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
2426 |
Number Of Medicare Beneficiaries With Medical Services |
683 |
Total Medical Submitted Charge Amount |
1376825.5 |
Total Medical Medicare Allowed Amount |
356943.72 |
Total Medical Medicare Payment Amount |
270694.16 |
Total Medical Medicare Standardized Payment Amount |
281581.65 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
277 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
462 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
638 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
570 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2655 |