National Provider Identifier [NPI]: |
1518073261 |
Last Name Of The Provider |
WARD |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1090 NORTHEAST GATEWAY CT NE |
Street Address 2 Of The Provider |
204 |
City Of The Provider |
CONCORD |
Zip Code Of The Provider |
280252440 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
2823 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
805381 |
Total Medicare Allowed Amount |
277070.11 |
Total Medicare Payment Amount |
206187.99 |
Total Medicare Standardized Payment Amount |
226055.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1067 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
32167 |
Total Drug Medicare AllowedAmount |
5841.98 |
Total Drug Medicare PaymentAmount |
4569.2 |
Total Drug Medicare Standardized Payment Amount |
4569.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
1756 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
773214 |
Total Medical Medicare Allowed Amount |
271228.13 |
Total Medical Medicare Payment Amount |
201618.79 |
Total Medical Medicare Standardized Payment Amount |
221485.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
410 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0807 |