National Provider Identifier [NPI]: |
1376723940 |
Last Name Of The Provider |
VINEYARD |
First Name Of The Provider |
JOSEPH |
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 |
9301 N CENTRAL EXPY |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752310806 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
3301 |
Number Of Medicare Beneficiaries |
514 |
Total Submitted Charge Amount |
744615.64 |
Total Medicare Allowed Amount |
230025.2 |
Total Medicare Payment Amount |
172661.14 |
Total Medicare Standardized Payment Amount |
172864.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
996 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
10904.64 |
Total Drug Medicare AllowedAmount |
5722.35 |
Total Drug Medicare PaymentAmount |
4399.35 |
Total Drug Medicare Standardized Payment Amount |
4399.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
2305 |
Number Of Medicare Beneficiaries With Medical Services |
514 |
Total Medical Submitted Charge Amount |
733711 |
Total Medical Medicare Allowed Amount |
224302.85 |
Total Medical Medicare Payment Amount |
168261.79 |
Total Medical Medicare Standardized Payment Amount |
168465.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
365 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
467 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
483 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.13 |