National Provider Identifier [NPI]: |
1811006497 |
Last Name Of The Provider |
PURITA |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
660 GLADES RD |
Street Address 2 Of The Provider |
SUITE 460 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334316465 |
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 |
99 |
Number Of Services |
12302 |
Number Of Medicare Beneficiaries |
1181 |
Total Submitted Charge Amount |
1378428.77 |
Total Medicare Allowed Amount |
448932.71 |
Total Medicare Payment Amount |
334359.91 |
Total Medicare Standardized Payment Amount |
313262.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
6665 |
Number Of Medicare Beneficiaries With Drug Services |
515 |
Total Drug Submitted ChargeAmount |
157096.58 |
Total Drug Medicare AllowedAmount |
50355.29 |
Total Drug Medicare PaymentAmount |
39329.7 |
Total Drug Medicare Standardized Payment Amount |
39329.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
5637 |
Number Of Medicare Beneficiaries With Medical Services |
1181 |
Total Medical Submitted Charge Amount |
1221332.19 |
Total Medical Medicare Allowed Amount |
398577.42 |
Total Medical Medicare Payment Amount |
295030.21 |
Total Medical Medicare Standardized Payment Amount |
273932.4 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
476 |
Number Of Beneficiaries Age 75 to 84 |
422 |
Number Of Beneficiaries Age Greater 84 |
243 |
Number Of Female Beneficiaries |
699 |
Number Of Male Beneficiaries |
482 |
Number Of Non Hispanic White Beneficiaries |
1130 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1495 |