National Provider Identifier [NPI]: |
1962454082 |
Last Name Of The Provider |
CHALAL |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7593 BOYNTON BEACH BLVD |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334376154 |
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 |
79 |
Number Of Services |
5718 |
Number Of Medicare Beneficiaries |
1029 |
Total Submitted Charge Amount |
1146407.18 |
Total Medicare Allowed Amount |
398055.59 |
Total Medicare Payment Amount |
291963.44 |
Total Medicare Standardized Payment Amount |
279471.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1231 |
Number Of Medicare Beneficiaries With Drug Services |
633 |
Total Drug Submitted ChargeAmount |
109625 |
Total Drug Medicare AllowedAmount |
49760.86 |
Total Drug Medicare PaymentAmount |
38949.46 |
Total Drug Medicare Standardized Payment Amount |
38949.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
4487 |
Number Of Medicare Beneficiaries With Medical Services |
1029 |
Total Medical Submitted Charge Amount |
1036782.18 |
Total Medical Medicare Allowed Amount |
348294.73 |
Total Medical Medicare Payment Amount |
253013.98 |
Total Medical Medicare Standardized Payment Amount |
240521.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
492 |
Number Of Beneficiaries Age 75 to 84 |
391 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
567 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
985 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1014 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0602 |