National Provider Identifier [NPI]: |
1841298478 |
Last Name Of The Provider |
WILLIAMS |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2325 DOUGHERTY FERRY RD |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631223356 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
1233 |
Number Of Medicare Beneficiaries |
346 |
Total Submitted Charge Amount |
348712 |
Total Medicare Allowed Amount |
123792.32 |
Total Medicare Payment Amount |
91469.43 |
Total Medicare Standardized Payment Amount |
95278.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
121 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
7320 |
Total Drug Medicare AllowedAmount |
3500.08 |
Total Drug Medicare PaymentAmount |
2727.19 |
Total Drug Medicare Standardized Payment Amount |
2727.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
1112 |
Number Of Medicare Beneficiaries With Medical Services |
346 |
Total Medical Submitted Charge Amount |
341392 |
Total Medical Medicare Allowed Amount |
120292.24 |
Total Medical Medicare Payment Amount |
88742.24 |
Total Medical Medicare Standardized Payment Amount |
92551.42 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
265 |
Number Of Black or African American Beneficiaries |
64 |
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 |
219 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6345 |